Application Employment Application Step 1 of 10 10% Name* First Last Email* Cell Phone*Current Address* Street Address Address Line 2 City State ZIP / Postal Code Is your permanent address the same as your current address?*YesNoPermanent Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Are you at least 18 years of age?YesNo Wildwood Values Are your values aligned with ours? Wildwood is where kids grow better outside. We celebrate learning and recognize that we are all constantly learning from each other and from nature. We commit to stewardship, living thoughtfully on the land and in community with each other. And, we are committed to equity and diversity. Wildwood campers and staff come from many geographic, racial, ethnic and economic backgrounds. We intentionally design our program so staff and campers can be their best and whole self at Wildwood.Are your values aligned with ours?*Yes, my values are aligned with Wildwood's. I will complete this application and prepare for an interview.No, my values are not aligned with Wildwood's. I understand I will not be a good fit for this position and will seek employment elsewhere. Starting Availability Date* Date Format: MM slash DD slash YYYY Ending Availability Date* Date Format: MM slash DD slash YYYY Exceptions or other commitments during that period (example, academic testing or travel already booked):Please describe your experience and previous responsibilities working with children:*Position DesiredCounselorCabin LeaderCookFood Service SupervisorLifeguardRopes Course InstructorOtherWhat other position are you interested in? Education and TrainingPlease explain any past or current training or certifications relevant to the desired work at Wildwood:School most recently attendedCity and State of schoolDates AttendedDegree Previous work/volunteer experience List your 3 most recent employment or volunteer positionsCompanyCity and StateDates of EmploymentName of SupervisorSupervisor Email Supervisor Phone Number Professional References Please list three references and notify them we will be contacting them to verify your skills and experience.Professional Reference 1/3 Name*Professional Reference 1 Email* Professional Reference 1 Phone* Professional Reference 2/3 Name*Professional Reference 2 Email* Professional Reference 2 Phone* Professional Reference 3/3 Name*Professional Reference 3 Email* Professional Reference 3 Phone* The safety and security of the Wildwood campers and staff are our number one priority, and we are committed to ensuring staff are thoroughly screened for their suitability to work with and serve as role models for children. Seasonal staff Wildwood Outdoor Education Center are required to complete an annual voluntary disclosure of any criminal convictions and an annual criminal background screening via an Intellicorp Criminal Background Check and/or review of publicly available criminal records and court proceedings A "yes" answer to a question below does not automatically disqualify you for employment.Have you ever been convicted of any crime other than minor traffic violations?*YesNoPlease explain, listing the charges, dates and outcomes:If you are prepresently charged or under Indictment for a criminal offense, upon finding plea of guilty, you shall provide that information to Wildwood Outdoor Education Center By checking this box, I promise that the information provided is true, and that any misrepresentation or omission may result in my immediate termination. I authorize Wildwood Outdoor Education Center, Inc, and its representatives to seek any and all records pertaining to my background, criminal history, employment history or other information relevant to my employment and suitability as a role model for children. I voluntary waive all rights of recourse and release any agency furnishing information and Wildwood Outdoor Education Center and any of its representatives from liability. This authorization shall be considered continuing in nature so as to release records created after the date hereof, and copy of this authorization shall be valid as the original.Digital Signature* I agree Date of Confirmation Date Format: MM slash DD slash YYYY Thank you for your interest in Wildwood Outdoor Education Center. It is important to us that our employees have values that align with our mission.