Sports Camp of America Senior Camp Counselor Summer Internship Application 2017

Email completed application to

Application deadline is March 5, 2017

Last Name / First Name/ M.I. / Male/Female
Current Address / City / State/Zip
Home Phone / Cell Phone / Birth Date
Permanent Address / City / State/Zip
Phone / Email Address
Skype Name
Current Address is Valid Until:
What date does school begin next fall?

Work Availability

Tentative dates for the camp are from July 17 to August 21, 2017. Will you be available during this period?

YES:____NO: ____

Do you have a valid passport with an expiration date after September, 2017?
(It can take up to two months or longer to obtain a new passport)

Education History

High School/City / Graduation Year / GPA
College/ City / Graduation Year / GPA
Major/Minor

Foreign Languages

List any foreign language classes you have taken in high school or college:

Camp Experience (List any experience as a camper)

Camp / Year(s)
Camp / Year(s)

Certificate/Licenses

Indicate if you are certified or licensed for any of the following:

First Aid / Expiration Date:
CPR / Expiration Date:
Other

Camp Counselor/Coaching/Teaching Experience

Position / School/Organization / Dates / Grade
Level(s) / What did you teach or coach?

Employment/Volunteer History (Also include any jobs related to camp counseling or children)

Position / Organization / Dates / Description of Duties

References: Please provide three references. Two references should include an employer/former employer, camp director or teacher. The third reference should be a former coach.Include both email and phone number

Name of Reference / Title/Relationship to you / Organization / Contact phone & email

High School & College Sports and Cheerleading/DanceBackground

Cheerleading/Dance

High School Name / Yrs / Yrs Varsity / Comments/Awards/achievements
College Name

Cheerleading/Stunting, Songleading and Dance (Jazz and Hip-hop) Background

Describe your experience in these areas if applicable:

Sports: Please list sports that you participated in high school or college

High School Sport / Yrs / Yrs Varsity / Positions / Awards/Achievements
College Sport
High School Sport / Yrs / Yrs Varsity / Positions / Awards/Achievements
College Sport
High School Sport / Yrs / Yrs Varsity / Positions / Awards/Achievements
College Sport

Other sports/athletic/cheerleading/dance related interests:List other sports, athletic, cheerleading/dance related interests you have and briefly describe your experience and skill level:

Other school or extracurricular activities:

Familiarity Questions (Please answer the question by typing inside the box. If you need more room feel free to expand the box)

1.Why are you applying for Sports Camp of America’s internship in Japan?

2.Please list any hobbies, skills, hidden talents or interests (ordinary or extraordinary) that might be useful or fun when working with the elementary and junior high school kids at camp.

3.Describe a situation when you had to problem solve or collaborate with a team or group. What issues and challenges arose? How was it resolved? What role(s) do you tend to or like to play in group situations (i.e. leader, mediator, advisor, task implementer?

4.Describe a memorable or meaningful experience you have shared with a group of children (It could be while in your capacity as a coach, camp counselor, volunteer or any situation you can think of). What made it memorable or meaningful?

5.What do you consider your strong points? What do you consider your weak points?

6.(Optional) Anything else you would like us to know about you?

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