Maine High Adventure Katahdin Area Council, Bsa Seasonal Staff Application Page 4
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6SEASONAL STAFF APPLICATION
Maine High Adventure, BSA
Katahdin Area Council, BSA
PO Box 1869
Bangor, ME 04402-1869
207-949-5260
PLEASE TYPE OF PRINT:
PERSONAL DATA:
Name: __________________________________________________________________________Date of Birth: ________________
Last
First
Middle
: _____________________________________________________________________________
Current Address
Street
City/Town
State
Zip
Phone
: ___________________________________________________________________________
Permanent Address
Street
City/Town
State
Zip
Phone
: ____________________________________________
:_____________________
E-Mail Address
Social Security #
____________________________________
Dates that you are available for seasonal employment (PLEASE BE SPECIFIC)
st
nd
rd
POSITION INTEREST: (
Indicate 1
, 2
, and 3
choices)
____BASE DIRECTOR
____ASST. BASE DIRECTOR
____CHIEF GUIDE
____DRIVER
____COMMISSARY MANAGER ____ASST. COMMISSARY MANGER ____COOK
____ASST. COOK
____GUIDE
____KSR GUIDE
____OPERATIONS SPECIALIST
SCOUTING EXPERIENCE:
______
YES
______NO
If yes, briefly outline Scouting background.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
OTHER EXPERIENCE:
Please outline your experience/training/coursework as related to your position interest. For example,
outdoor skills and leadership for Guide applicants, driving background for Driver applicants, etc. Attach additional sheet or resume if
necessary
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
TRAINING AND CERTIFICATIONS:
Driver’s License: Number: ______________________________ State of Issue: ____________ Renewal Date: __________________
First Aid:
Type: _______________________________________________ Expiration Date: ___________________________
CPR:
Type: _______________________________________________ Expiration Date: ___________________________
Lifeguard/WSI: Type: _______________________________________________ Expiration Date: ___________________________
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