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4-H Camp & Learning Center at Tanglewood & Blueberry Cove
Employee Application Form
To apply online for a summer position with Tanglewood please complete the application form. All fields marked with a star (*) are required.
Personal Details
First name* Last name* Nickname or preferred name
Permanent address*
Contact address (if different)
Date of birth Phone E-mail
Working With Us
Which position(s) at Tanglewood interests you the most?*
Camp Counselor (CC) Program/Focus Leader and CC Facilities Assistant and CC Kitchen Assistant and CC Waterfront Director Daycamp Counselor Trip Leader Leadership Instructor Internship Other (below)
Specify other position
For positions available at both locations, what is your preference?*
No preference Tanglewood, Lincolnville Blueberry Cove, Tenants Harbor
Why have you decided to apply at Tanglewood?
Education and Experience
List all of the high schools and colleges you have attended or are currently attending. Including courses of study and dates of graduation, or expected graduation.
Education history*
What experience do you have working with children?*
List any related work or volunteer experience below. Include the position you held, name and address of the organization and dates of employment.
Employment/volunteer history
Please list three people we may contact for references. Include contact details and their relationship to you. Examples of good referees might be employers, teachers or coaches. References should not be related to you.
Three references*
Certifications
Please state the type of your most advanced certification and its expiration date.
CPR First Aid Lifeguard Training
Other:
Driving license Maine trip leader WSI
List any additional certifications.
Note: If accepted for a position you will need to provide copies of all relevant certifications.
All About You
1. What do you hope young people can gain though educational experiences in the outdoors?*
2. What personal interests, skills, knowledge or aspects of your personality do you feel will most benefit our community?*
3. Describe an experience you have had that demonstrates your willingness and enthusiasm for being flexible and working as a team member*
4. Describe a significant experience you have had in the outdoors*
5. What qualities or characteristics do you feel you possess that would make you an effective counselor?
6. Please feel free to add any additional comments which might help to understand more about you and your qualifications.
Activities
Tanglewood offers a great deal of flexibility in what activities are offered at camp — share your passions! If you're excited about an activity then it's likely campers will be too.
What activites do you feel that you could comfortably lead, or assist in leading (please indicate which) and what existing experience do you have with those activities?
Activities you could lead
Experience with activities
Disclosure
Have you ever been convicted of any crime other than a minor traffic violation?* Yes No
If yes, please explain
Is there anything that would interfere with your ability to perform the job-related functions for the job which you have applied?* Yes No
If there is, please explain
Submit Clear (by pressing SUBMIT, your request will be automatically e-mailed to Cooperative Extension; your information will not be shared.)
extension.umaine.edu/tanglewood One Tanglewood Road, Lincolnville, ME 04849 | (207)789-5868 | Fax (207) 789-5220