Merrowvista Internship Application
Welcome to the application for the Merrowvista Internship. This form contains 8 short sections and should take you approximately 30 minutes to complete. You may save your work at any time using the buttons at the bottom of the page and return to complete the form later. Fields that are required are marked with a red asterisk (
*
), and you will not be able to move to the next page until you type a response. If you have any trouble with this form, please contact us at Merrowvista, (603) 539-6607. We will contact you when we have read your application. Thank you for your interest in our programs. We look forward to receiving your application and speaking with you about the internship.
General Information
Please tell us a little bit about yourself.
First Name
*
Middle Initial
Last Name
*
Name I prefer being called
Email
*
Social Security Number
Date I can start work:
mm/dd/yyyy
Date I must end work:
mm/dd/yyyy
Have you ever been a participant in an AYF camp or program?
Yes
No
Please describe:
Have you been employed by the American Youth Foundation:
Yes
No
Please describe:
Are you 18 years of age or older?
*
Yes
No
Are you 21 years of age or older?
*
Yes
No
Select the method which best explains how you found out about this job
Please select...
Friend
CampStaff.com
Newspaper
AYF Website
School Posting
Job Fair
I am a former AYF participant
Other
Please specify:
Current or College Contact Information
Mailing Address
City
State
Please select...
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Province
Please select...
Please select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP Code
Telephone
Cell Phone
I will be at this address until what date?
Permanent or Home Contact Information
Leave this section blank if you have only one address.
Street Address
City
State
Please select...
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
ZIP Code
Telephone
Education
High School
Name
Location
Diploma Received?
Yes
No
College/University
Name
Location
Major
Type of Degree
Please indicate your current academic year. If you are not in school, please select the last year completed.
Please select...
1
2
3
4
Other Education
Name
Location
Training Received
References
Please list three references who can comment on your professional or academic work.
Reference
Name
*
Organization/Position
Telephone
Email
Relationship
Years Known
(Rounded to the nearest year)
Reference
Name
*
Organization/Position
Telephone
Email
Relationship
Years Known
(Rounded to the nearest year)
Reference
Name
*
Organization/Position
Telephone
Email
Relationship
Years Known
(Rounded to the nearest year)
Certifications
Please indicate any current certifications you hold, including expiration date or the date you will be certified. CPR is required for all positions. If you are not currently certified, please indicate the date in which you plan to take a course.
CPR
Date your certification expires or date of a course you have signed up for.
CPR for Professional Rescuer
Date your certification expires or date of a course you have signed up for.
First Aid
Date your certification expires or date of a course you have signed up for.
Wilderness First Responder
Date your certification expires or date of a course you have signed up for.
Wilderness First Aid
Date your certification expires or date of a course you have signed up for.
Water Safety Instructor
Date your certification expires or date of a course you have signed up for.
Lifeguard
Date your certification expires or date of a course you have signed up for.
Wilderness EMT
Date your certification expires or date of a course you have signed up for.
Archery
Date your certification expires or date of a course you have signed up for.
White Water Canoe
Name of White Water Canoe Course
Other-- Please Specify
Employment History
Please list previous employers or provide this information on a current resume. List relevant experience first.
Resume
Optional- you may submit a current resume with your application, but it is not required.
You may paste your TEXT-ONLY resume here.
Or choose an attachment to upload:
The file size limit is 4 MB.
Employer
Company Name
Company Address
Company Phone
From (Month/Year)
To (Month/Year)
Your Position
Supervisor's Name
Supervisor's Position
Your Duties
Reason for Leaving
Check this box if you DO NOT want us to contact this employer
Personal Insight Questions
Please respond to three of the following questions.
Describe your experience working with children or adolescents.
You may cut and paste a response or type in this box.
Why are you interested in the Merrowvista Internship and what do you hope to gain from this experience?
What Leadership qualities do you have that will make you effective in the position you seek?
Describe your experience working in a small community environment, and/or what would make you successful in this type of environment?
Skills and Interest Survey
Please tell us a little about your experience in the following areas. You do not need previous experience to lead classes in an area. Please check boxes for all skills you could facilitate or assist with. *You do not need to fill out this section if you are applying for the Four Trails Program.
Athletics
Basketball
Volleyball
Field Hockey
Archery
Soccer
Croquet
Lacrosse
Frisbee Golf
Ultimate Frisbee
Baseball/ Softball
Bocce
Yoga
Cricket
Martial Arts
Other
Please Specify:
Arts and Crafts
Watercolor Painting
Woodworking
Papermaking
Candlemaking
Pottery/ Ceramics
Duct Tape Art
Tie Dye/ Batik
Knitting
Crocheting
Beadwork
Fabric Art
Weaving
Friendship Bracelets
Origami
Other
Please Specify:
Performing Arts
Improv Comedy
Musical Theater
Acting/ Drama
Voice/Chorus
Ballet
Modern Dance
Hip Hop Dance
Stomp/ Step Dance
A Capella Singing
Drumming
Musical Instrument
Other
Please Specify:
Outdoor and Adventure
Outdoor Cooking
High Ropes
Team Challenge
Ecology or Nature
Hiking
Orienteering
Camping Skills
Backpacking
Rock Climbing
Other
Please Specify:
Please give a brief narrative of your experience in the outdoors including any camping experience.
Waterfront
Windsurfing
Sailing
Canoeing
Swimming
Fishing
Other
Please Specify:
Other Activities
Newspaper
Creative Writing
Foreign Language
Other
Please Specify:
Of all of the skills mentioned above, please list in order of priority those you would prefer to teach.
Employment Eligibility
Do you have the legal right to work in the USA?
*
Yes
No
If you are not a U.S. Citizen, what type of visa do you have?
Have you ever been convicted of a crime ?
*
Yes
No
A conviction or court-martial is not necessarily a bar to employment. You may exclude minor traffic violations.
Please explain:
Have you ever been discharged or asked to resign by a previous employer?
*
Yes
No
Please Explain
Personal Commitment
If selected for a leadership position with the American Youth Foundation, I will assume my responsibility conscientiously, give the camp and its directors my support and best effort, and at all times set the proper example for campers. I agree to abide by the American Youth Foundation’s policy prohibiting the use and possession of tobacco, alcohol and other illegal drugs on camp property. In addition, I will not be under the influence of such substances on camp property. Before commencing employment, I will obtain certification in CPR and First Aid, provide verification of a clear criminal history, provide three written letters of reference, furnish a current physical examination and health history form, furnish legal documentation of my eligibility to work in the United States, and complete any necessary forms (i.e. tax withholding forms, I-9, etc) required for employment and participation with the AYF.
I have read and agree with these responsibilities.
Yes, I accept these responsibilities.
No
Do you consent to a police record search?
*
Yes, I give my consent.
No, I do not consent.
State laws require a police record search on all adults working with children under the age of 18. Please indicate consent to such a search.
Please read carefully before submitting your application.
I hereby certify that my answers on this application are true and I understand that any information withheld or falsely provided by me in connection with the foregoing application may be grounds for rejection of my application or will subject me to immediate termination of employment. I understand this application is not an obligation to provide employment. The application will be kept active for 6 months and it must be renewed to be active for a longer period. I also recognize that my employment is based on receipt of satisfactory information from former employers or references. I hereby authorize the American Youth Foundation (AYF) without liability to contact prior employers (present employers, if authorized). I also authorize references given by me and authorize said employers or references to make full response to any inquiries by the AYF concerning this application for employment. Inasmuch as said information concerning my performance and conduct as an employee is furnished at my specific request and for my benefit, I hereby agree to hold harmless the AYF and all former employers and references listed on this application from any liability or claims of whatsoever nature. The employment relationship is by its nature a mutual one and I understand that just as I am free to terminate my employment at any time and at my option, with or without notice, AYF retains a similar right. I further certify that I have read the foregoing information and herewith knowingly make this authorization by setting forth my signature below.
I certify that I have read this information and I knowingly make this authorization by setting forth my signature below.
*
If you have completed the application, please select "submit" to transfer your application to Merrowvista
state
As an Equal Opportunity / Affirmative Action Employer, the AYF will afford all qualified applicants consideration for employment without discrimination based on race, creed, color, sex, religion, national origin, ancestry, sexual orientation, age, veteran status, physical or mental disabilities.
The American Youth Foundation's Camp Merrowvista www.ayf.com
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