Ymca Camp Silver Creek & Ymca Camp Greider Summer Camp Application Form Process Page 2
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3SALEM FAMILY YMCA OF MARION AND POLK COUNTIES
YMCA Camp Silver Creek & YMCA Camp Greider
CAMP APPLICATION
Name:
Phone Number:
_ .
____^_________________^__
Address:
..
Email: __________
If you are a returning applicant (worked at camp in 2014):
Camp Name:
Position Held:
__ Sessions Worked:
Please indicate which positions you are applying for. Please rank your preferences (1 as first choice, 2 as second, etc.].
You may apply for as many positions as you would like.
YMCA Camp Silver Creek
YMCA Camp Greider
_____
Assistant Director
Program Director
______ Assistant Director
Leader In Training Director
Day Camp Director
Program Director
Waterfront/Outpost Director
Unit Director
______ Unit Director
__
Horse Camp Director
Assistant Horse Director
Waterfront Director
Teen Camp Director
.. . . _ Horse Wrangler
Counselor In Training Director
.
Cabin Counselor
Horse Counselor
Bus Driver
Kitchen Director
__ Kitchen Aide
______ Senior Counselor
Assistant Kitchen Director
_____
Prep Cook
Junior Counselor
Arts & Crafts Director
Unit Aide
Nurse (Volunteer only)
Lifeguard (with other position)
Preference is given to candidates who are available to work for the full summer season.
YMCA Camp Silver Creek Leadership and Kitchen staff season: 6/13/15-8/23/15 All staff season: 6/17/15-8/23/15
YMCA Camp Greider All staff season: 6/15/15-9/4/15
Are you available to work for the full season?
Dates unable to work:
Which certifications do you currently hold?
Certification
Expiration Date
First Aid/CPR
D Yes n No Q Will receive by start date
Lifeguarding
es D
N
° D
Wil1
receive by start date
Oregon Driver's License (over 21 only)
Oregon CDL (Bus Drivers only)
D Yes D No
D Yes D No
Oregon Food Handler's Certification (Kitchen Staff & Unit Aides only)
D Yes O No n Will receive by start date
Other:
Family YMCA of Marion & Polk Counties 685 Court St. NE Salem, OR 97301
(503) 581-9622
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