Applying for Summer of:required

Have you worked at GSSP in the past?*

Yes No

Applicant's Full Name:

First Name:required

Middle Name:required

Last Name:required

Preferred First Name:

Gender:*

Male Female

Citizenship:*

USA Other

International Addess

Country of Citizenship:

Permanent Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Primary Phone Number:required

Email:required

Are you currently enrolled in college?*

Yes No

What college do you currently attend?

School Address (if different from permanent address):

Address Line 1:

Address Line 2:

City:

State:

Zip:

How many years of college have you completed?required

Education:required

List degrees, colleges attended, major subjects, and years of attendance.

Present and Past Employment:required

Your current employer and previous employer. Include name, title, full address, telephone number, and email address (if available)."

Past Employment 1required

Past Employment 2required

Have you ever been questioned by the police, campus police, or any other law enforcement agent or officer regarding a criminal charge? Have you ever been arrested, convicted, or brought to court for any criminal charge? Have you ever been notified by any Child Welfare Agency that you were the subject of a suspected child abuse report?

Yes No

Please provide a statement in a separate e-mail to summer@gow.org.

How long have you been driving?required

Do you have a current certification in CPR?*

Yes No

Are you a certified lifeguard?*

Yes No

How did you find out about The Gow School Summer Program?required

With which age group(s) of students would you prefer to work?*

8-9 years 10-11 years 12-14 years 15-16 years

Please explain your preference for the previous question.required

Some applicants may be unavailable for an interview due to geographical factors. However, it is important for the Director to know as much as possible about you as an individual, as well as your philosophy, attitudes, and aspirations.

Why are you seeking a position with The Gow School Summer Program?required

What contributions do you think you can make to the program? What contributions do you think the program can make for you?required

How can a well-run summer program benefit children?required

Our mission is to serve children who are language disabled, underachievers, and/or experiencing academic difficulty. By summer's end, students should feel confident, relaxed, and ready for the coming year. How can you assist in Gow's mission?required

Write a brief biographical sketch, including your future goals, specialized training in education, major in school, and camping and/or traveling experiences. Please write this as a letter to the Director.required

References:required

List 3 personal and/or professional references (not relatives) who have knowledge of your character, experience, and ability. Include name, title, full address, and telephone number.

Reference #2required

Reference #3required

Previous Educational and Camp Experience:required

List any coaching, teaching, and/or leadership experience. Include the name of the organization/school, dates of leadership, and position held.

Are there any other activities you could lead or assist? Please explain.

Electronic Signature:required

I hereby state that the aforementioned information is truthful and accurate.