Counselor Application – Camp Trollfjell | Norwigian heiratage youth summer camp

1Applicant Information

2Applicant Skills

3References

4Signature

Name*

First Last

Applying for a position at:*

Camp Trollfjell

Trollfjell Folkehøgskule

Check all that apply.

Position desired:*

Counselor

Teacher

Cook

Nurse

Other

Willing to drive campers to hikes/events?

Yes

Vehicle Passengers

How many passengers can your vehicle hold?

Regardless of if you are willing to drive campers for activities, we require a DMV drivers record. In case of emergency, you may be needed to drive campers.

Email*

Phone*

Gender*

Male

Female

T-Shirt Size*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Birth Date:*

MM slash DD slash YYYY

CPR Certified?*

Yes

Education Level*

Indicate your highest level of education

Social Security Number*

For tax reporting purposes

Have you been a camper at District 6 Language/Heritage Camp*

Yes

What years did you attend?*

List all years separated by a comma or use a - to indicate range, i.e: 2010, 2012-2014

Any other camp experience:*

Yes

Name of Camp

Years attended?*

List all years separated by comma or a dash to indicate a range, i.e: 2010, 2012-2014

List any Youth Organizations/Clubs you belong to:

Enter one name per line.

Do you have experience, interest or skills in any of the following?

Indicate all that apply. Enter, "Yes" or state specifics if they apply

Vocal Music:

Instrument:

Drama or other art form:

Science

(field)

Athletics

(sports)

Swimming

(list American Red Cross awards/level)

Other skills or interests

Please enter any additional information to elaborate on anything that may be pertinent to being a counselor here.

Please list three adults (not relatives) who we can contact as references

Reference 1

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reference 2

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reference 3

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Please certify age requirement*

I am 18-years of age or older

I PLEDGE THAT DURING THE TIME I AM A COUNSELOR/STAFF AT THE SONS OF NORWAY LANGUAGE/HERITAGE CAMP I WILL NOT USE TOBACCO, ALCOHOL, OR ANY FORM OF DRUGS AND WILL NOT ENGAGE IN ANY INAPPROPRIATE SEXUAL BEHAVIOR.

Signature*

Use mouse or digital pen to enter your signature.

Date*

MM slash DD slash YYYY

Norwigian heiratage youth summer camp

A Program of Sons of Norway – District Six

Counselor Application – Camp Trollfjell

Staff/Counselor Application - Camp Trollfjell & Trollfjell Folkehøgskule

Do you have experience, interest or skills in any of the following?

Please list three adults (not relatives) who we can contact as references

Reference 1

Reference 2

Reference 3

I PLEDGE THAT DURING THE TIME I AM A COUNSELOR/STAFF AT THE SONS OF NORWAY LANGUAGE/HERITAGE CAMP I WILL NOT USE TOBACCO, ALCOHOL, OR ANY FORM OF DRUGS AND WILL NOT ENGAGE IN ANY INAPPROPRIATE SEXUAL BEHAVIOR.

Employment with Camp Trollfjell or Trollfjell Folkehøgskule is contingent upon the directors receiving a clear criminal records check.