Application for Outdoor Employment

If you are interested in employment as a program instruction, please complete the form below.

Application for Outdoor Education Employment

If you're interested in working at YMCA Camp Copneconic, fill out the application below and we will put you in our database.

Full Name (*)

Please type your full name.
Current Phone Number (*)

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Current Cell Number (*)

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Email Address (*)

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Current Street Address (*)

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City (*)

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State (*)

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Zip Code (*)

Invalid Input for Zip Code
How old are you? (*)




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Do you have a legal right to remain and work in the United States? (*)



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Have you ever filled out an application with the YMCA of Greater Flint before? (*)



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If you answered yes above, give dates and branch.

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Have you ever been employed by the YMCA of Greater Flint before? (*)



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If you answered yes above, give dates and branch.

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Have you ever been convicted of a misdemeanor or felony? (*)



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If you answer yes above, please explain. List the date, offense, place, and disposition.

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EMPLOYMENT DESIRED

Position Desired (*)

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Employment Type Desired (*)




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If part time, please specify hours and days desired.

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EDUCATION


High School Education

High School Location (*)

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Course of Study in High School (*)

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Number of Years Completed in High School (*)

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Did you Graduate from High School? (*)



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College Education

College Name (*)

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Course of Study in College (*)

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Number of Years Completed in College (*)

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Did you Graduate from College? (*)



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EMPLOYMENT HISTORY


JOB 1

Job Title

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Employer Name

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Dates worked (start date/year and end date/year)

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Address

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Phone Number

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Tasks Performed

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Reason for Leaving

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Supervisor's Name

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May we contact this employer?



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JOB 2

Job Title

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Employer Name

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Dates worked (start date/year and end date/year)

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Address

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Phone Number

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Tasks Performed

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Reason for Leaving

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Supervisor's Name

Invalid Input
May we contact this employer?



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REFERENCES: Please list 3 references that are not relatives.


REFERENCE 1

Reference 1 Name (*)

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Reference 1 Address (*)

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Reference 1 Phone (*)

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Reference 1 Position / Occupation (*)

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How long has he/she known you? (*)

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Email Address (*)

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REFERENCE 2

Reference 2 Name (*)

Invalid Input
Reference 2 Address (*)

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Reference 2 Phone (*)

Invalid Input
Reference 2 Position / Occupation (*)

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How long has he/she known you? (*)

Invalid Input
Email Address (*)

Invalid Input

REFERENCE 3

Reference 3 Name (*)

Invalid Input
Reference 3 Address (*)

Invalid Input
Reference 3 Phone (*)

Invalid Input
Reference 3 Position / Occupation (*)

Invalid Input
How long has he/she known you? (*)

Invalid Input
Email Address (*)

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SKILLS


Please signify any licenses or certifications and level. Proof of accomplishments will be required, if hired.

Lifeguard

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Lifeguard Certification Expiration Date

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CPR

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CPR Certification Expiration Date

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First Aid

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First Aid Certification Expiration Date

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CHA or Horseback

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CHA or Horseback Expiration Date

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Boating

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Boating License Expiration Date

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List any other certifications, skill levels and expiration dates.

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Summarize any other training or other skills that may have prepared you for this position. (*)

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Please list any other experiences working with children.

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Please select all of the items below that you can TEACH. (*)














































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Please select all of the items below that you can ASSIST with. (*)














































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Why do you want to work with and care for children? (*)

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How do you recognize when someone else is stressed out? (*)

Invalid Input for Stress
How do you recognize when you’re becoming stressed? What do you do? (*)

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Name one hero of yours and why are they important to you? (*)

Invalid Input for Hero



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