Welcome to Camp Stewart for Boys. In the Texas Hill Country

(830) 238-4670

Camp Counselor Application

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Camp Stewart for Boys H.C.1 Box 110 Hunt, TX 78024-9714 Phone: 830/238-4670: Fax 830/238-4737 e-mail: info@campstewart.com STAFF APPLICATION
Important: Fill out Completely and Include photo with application
Name:	Name Called:
Permanent (parents) address:
City: State: Zip: Phone:
School Name:
School Address:
City: State: Zip:
Phone: Fax Available: E-mail:
Age: Date of Birth: Month: Day: Year:
Social Security #:
Height: Weight: Health:
Physical/mental impairment or communicable diseases: Y N
If so, please explain:
Church Preference:
Marital Status: If married, spouse name:
Ages/Sex of children if any:
Brothers & Sisters: Sex/Ages:
School(s) Major Subject Dates GPA Degree/Diploma
Honors (academic, social, athletic, military, etc.):
What Career do you plan:
Father's name: Father's occupation:
Camp Experience: Are you a former Stewart camper? Y N Years:
Have you ever work at a summer camp? Camp Director Address Telephone Dates
Job Experience (list most recent job first) PositionBusiness Supervisor Address Telephone Dates
Skills, Training and Counselor Preferences Mark Each Blank, using this indicated scale: 0 Not at all familiar X Familiar with XX Skilled in XXX Qualified to teach XXXX Prefer to teach
ARCHERY Target: Archery hunting: Archery fishing: Archery crafts:
RIFLERY Certified NRA Instructor: Date: Certified NRA Assistant:
Date: Skeet: Other rifle certification:
qualifications or experience:
ARTS and CRAFTS
Ceramics: Leather: Wood: Sketching:
Painting: Metal: Pottery: Model Craft:
Others:
CAMPCRAFT
Hiking: Backpacking: Cooking Nature Study: Repelling:
Scouting (Rank): Instructor Certifications:
Mountaineering: Ropes Course: Wilderness First Aid:
Others:
Certifying Agency: Date: Current:
FINE ARTS
Choral (Part you sing): Instruments (specify): Band (can you direct):
Drama: Skits: Scenery: Creative:
Photography: Still: Movie: TV:
SPORTS
Football: Basketball: Baseball: Soccer:
Volleyball: Track: Flicker ball:
Other Field Sports (specify): Tumbling: Games:
Wrestling: Boxing: Golf: Badminton:
Trampoline: Tennis: Gymnastics: Fencing:
Certifications, qualifications:
WATER SPORTS
Swimming: Can you swim: Lifeguard training: Date: LGI: Date:
WSI: Date: Community Water Safety: Date: Red Cross First Aid/CPR: Date:
Competitive Swimming: Competitive Diving: Other:
Water Skiing: Snorkeling: Scuba: Sailing:
Can you safely drive and care for jet ski? If yes, explain experience:
Canoeing: Certified Red Cross: Scout: Other:
Fishing: Casting: Fly: Experience:
HORSES
English Riding: Hunt Seat: Jumping: Dressage:
Cross Country: Western: Western Pleasure: Barrels:
Roping: Polocrosse: Horseshoeing: Care / Feeding:
Horse Course International or Camp Horsemanship Certification: Date: Level:
Briefly describe Equestrian experience

INDIAN LORE
Dancing: Costume Making: Stories: Crafts:
Other
Other camp related skills and/or qualifications:
List all other instructor certifications (dates & agencies):
OTHER SKILLS
Keep books: Shorthand (speed): Type (speed):
Use Computer: Calligraphy: Do Signs:
Manage Camp Store: Plan & Lead Campfires:
Conduct Vespers & Chapel: Lead Songs: Edit Camp Paper:
Do you have Valid Driver's License? (type):
Bus License? Driver's License Number:
State Issued: Do you plan to bring a car to camp? (type):
State your feeling about the following:
Marijuana and/or illegal drugs:

Homosexuality:

Bisexuality:

Background:
Have you ever been charged with or convicted of a felony in this state or any other state? If so, please give full details, otherwise, state "none"

Have you ever been charged with or convicted of a misdemeanor, other than traffic violations, in this state or any other state? If so, please give full details, otherwise, state "none"

Have you ever been charged with or convicted of any sex-related crime of any type? If so, please give full details.

Number of traffic accidents, tickets, received in last 3 years: (must specify date & place received (whether county or city) i.e. May 1, 1999, city of Kerrville, speeding 45 mph zone)

Why do you want to be a camp counselor or staff person at Camp Stewart?

Would you have any difficulty supporting Christian principals of the camp? Explain briefly:

What do you believe are the most important personal qualities a camp counselor should have?

What special contribution do you think you can make to Stewart & Stewart Campers?

CAMP PREFERENCES:
What age camper would you prefer in your cabin?
6-8 9-11 12-13 14-16 No preference
What activities would be your preference to teach:
1^st 2^nd 3^rd
References: List 5 persons (non-relatives) who know you & your abilities. Phone number is important: we may call 2-3
Name Relationship Address Telephone Occupation

Where, or from whom, did you hear about Camp Stewart (be specific):
Assuming mutual satisfaction, would you be available for several summers?
Estimated number of summers you are available:
To be a good counselor requires hard work: I am willing to work
Camp Stewart has a no tobacco/no alcohol policy on the camp property; would this be a problem for you?
I certify the above four pages of information to be correct and I give permission for all information to be checked. I understand that any falsification of information could result in disciplinary action. I have read the accompanying information on what being a camp counselor entails & feel I am qualified. I understand I may be assigned to either Stewart or Heart, if in the best interests of the camps.
Signed:

Best mailing address:
Best telephone number: Fax:
Best E-mail address:

Camp Stewart for Boys. Inc.
612 FM 1340
Hunt, TX 78024-3024
Ph. (830) 238-4670 Fx. (830) 238-4737