Date:

Position/s Applying for 1. Practicum or Internship Head Instructor Camp Counselor Office Assistant Counselor in Training (grades 9-12) 2. No second choice... Practicum or Internship Head Instructor Camp Counselor Office Assistant Counselor in Training (grades 9-12)

First Name:
Middle Name:
Last Name:
Student ID# (OSU Students only, please do not put dashes):
Email:
KidSpirit communicates regularly to its staff via email and OSU Blackboard. How often do you check email None 1-2 times per week 3-5 times per week 1-2 times per DAY Many times per DAY and/or Blackboard None 1-2 times per week 3-5 times per week 1-2 times per DAY Many times per DAY ?

Primary Phone: Type: Cell Home Work Pager
Secondary Phone: Type: Cell Home Work Pager
Local Street Address:
Local City: Local State: Local Zip:

Permanent Address:
Permanent City: State: Zip:

Current Occupation:
School Attending in Fall:
Current University/School: Overall GPA:
Major: Option:

Have you ever been convicted of a felony? No Yes
If yes, please describe the circumstances involved.

Current Certifications              Expiration Dates:
No Yes CPR (Infant)            
No Yes CPR (Child)             
No Yes CPR (Adult)             
No Yes First Aid                  
No Yes WSI (water safety) 
No Yes Belay Certification   
No Yes Other                      

Which grades do you prefer to work with (choose all that apply)?
No Yes No Preference Preschool (Pre K)
No Yes No Preference Jr. Beavers (K-2)
No Yes No Preference Dam Builders (3-5)
No Yes No Preference Duck Busters (6-8)
No Yes No Preference High school (9-12)
No Yes No Preference Families (All ages)

KidSpirit Mandatory Staff Fees

Please indicate the quantity and size (Adult S-M-L-XL-XXL) of staff t-shirts you would like to order. Swim staff, female swimsuit sizes (must be black). Please total amount owed at bottom.

Staff T-Shirt (must have at least one shirt; returning staff will need to buy new shirts this year) $15.00 ea Size: S M L XL XXL Quantity desired: Cost:
Staff Sweatshirt (optional) $25.00 ea Sweatshirt Size: None S M L XL XXL Quantity desired: Cost:
Staff Swimsuit (swim staff and group leaders) $30-50 Size: Cost:

If hired, applicants will need to be certified in CPR for the Adult and Child and Standard First Aid, and OSU Dixon Recreation Center Rock Climbing certification, PRIOR to the first day of Summer Day Camp. KidSpirit will be offering CPR and First Aid certification classes (date/times listed below). If you are unable to attend KidSpirit certification, applicants are responsible for receiving certifications PRIOR to the first day of Summer Day Camp. Payments due at time of certification class. Adult & Child CPR ($30); First Aid ($15); Recertification/Challenge ($10 for each); Dixon Recreation Center Rock Climbing (FREE for OSU Students, $5 for Non-OSU Students). Please indicate if you will be attending the KidSpirit American Red Cross trainings. Yes, I need the following & will be attending the KidSpirit Trainings:

No Yes Child/Adult CPR Cost: $ 30.00 (Recertification/Challenge $20) - Sunday, 5/18, 10:00a-2:30p, Upper Classroom of Dixon
No Yes Child/Adult CPR & First Aid Cost: $45.00 (Recertification/Challenge $30) - Sunday, 5/18, 3:00-5:00p, Dixon
No Yes Criminal Background Check Cost: $10.00

Total Amount of Clothing and Certifications Owed: $

For all KidSpirit Positions/Applicants

Sports and Outdoor Activities

Please rank the activities below with the corresponding answer to your teaching/coaching ability. Please be accurate with your ranking because these are activites that are offered through KidSpirit and experience is how we schedule classes.

1 - Head instructor: Previous experience instructing with full responsibility of design and implementation of lesson plans and managing progress of participants. (Ex. Head coach of a Little League baseball team, writing lesson/practice plans)
2 - Assistant instructor: Previous experience instructing activity but has not had full responsibility of children, class management or progress. (Ex. Shadowed/assisted a Parks and Recreation team)
3 - Personal experience: Previously been instructed/coached in the activity or has equivalent expertise in this area. (Ex. Experience in drama productions or taken specialty courses in sports, arts, academia)
4 - Recreational experience: Participated in this activity on free time.
5 - No experience: No previous experience in this activity.

Indoor Activities

Please rank the activities below with the corresponding answer to your teaching/coaching ability. Please be accurate with your ranking because these are activites that are offered through KidSpirit and experience is how we schedule classes.

1 - Head instructor: Previous experience instructing with full responsibility of design and implementation of lesson plans and managing progress of participants. (Ex. Head coach of a Little League baseball team, writing lesson/practice plans)
2 - Assistant instructor: Previous experience instructing activity but has not had full responsibility of children, class management or progress. (Ex. Shadowed/assisted a Parks and Recreation team)
3 - Personal experience: Previously been instructed/coached in the activity or has equivalent expertise in this area. (Ex. Experience in drama productions or taken specialty courses in sports, arts, academia)
4 - Recreational experience: Participated in this activity on free time.
5 - No experience: No previous experience in this activity.

Arts & Crafts

Please rank the activities below with the numbers corresponding to your teaching/coaching ability. Please be accurate with your ranking because these are activites that are offered through KidSpirit and experience is how we schedule classes.

1 - Head instructor: Previous experience instructing with full responsibility of design and implementation of lesson plans and managing progress of participants. (Ex. Head coach of a Little League baseball team, writing lesson/practice plans)
2 - Assistant instructor: Previous experience instructing activity but has not had full responsibility of children, class management or progress. (Ex. Shadowed/assisted a Parks and Recreation team)
3 - Personal experience: Previously been instructed/coached in the activity or has equivalent expertise in this area. (Ex. Experience in drama productions or taken specialty courses in sports, arts, academia)
4 - Recreational experience: Participated in this activity on free time.
5 - No experience: No previous experience in this activity.

Office Tasks

Please rank the activities below with the numbers corresponding to your ability.

1- Expertise Experience | 2 - Academic Classes taken | 3 - Personal Experience | 4 - No Experience

Summer Camp Availability

Applying Full Time? No Yes (Full time is 7:00am - 5:00pm; Approx. 34-38 hours/week)
Applying Part Time? No Yes (Please check which hours you are available)
    No Yes 7:00 am – 8:00 am
    No Yes  8:00 am – 12:00 pm
    No Yes 12:00 pm – 5:00 pm
    No Yes 5:00 pm – 7:00 pm

Are you available to work on Friday NIGHTS in preparing for camp for the next week (work entails office work with attention to details)? No Yes

Preferred total hours/week:

Yes No Yes, I am available all 11 weeks (June 18-August 31) IF NO, I will need week/days off (list specific days)

Will you be taking academic classes during summer term? If so, please list your weekly schedule.

Would you be interested in Internship or Practicum hours? If so, what are your interests?

For All KidSpirit Positions/Applicants

Please answer all questions completely and accurately.

How did you find out about this position? Friend Instructor Advertisement Other

What are you looking to gain from working at KidSpirit?

How do your skills and/or experience relate to this position? Also include any experience working with children. (babysitting, coaching, teaching, siblings)

What is your reaction to conflict? How do you handle conflict?

Describe your problem solving skills and how you handle and cope when things don't go as planned. Provide a situation in which you demonstrated these skills.

Describe a management style that you thrive in.

Describe your best quality you bring to KidSpirit staff.

What techniques do you use to accommodate for diverse learners (autism, learning disorders, behavioral issues, etc)?

List your volunteer activities and/or service and club organizations.

Head Instructor/Camp Counselor Applicants Only

Please answer all questions completely and accurately.

Describe your teaching philosophy.

Describe methods and techniques you will use in teaching and/or leading activities.

Describe your experience ensuring the safety of a child or a group of children.

Head instructors applicants only, please submit one lesson plan for a 50-60 minute activity that you feel comfortable instructing.

Office Assistant Applicants Only

Please answer all questions completely and accurately.

What office specific experience do you have, if any?

What is your experience accommodating for others needs. Provide an example.

Describe your coping strategies under stressful situations.

What is one characteristic that you will bring to the KidSpirit office? Describe your preferred working office environment.

Please put in numerical order 1 to 7 the following items (1 being the highest and 7 being the lowest) rating your preferences and/or strengths for each item.
Fast paced
Customer service
Data entry
Multitasking
Graphic Design
Clerical (filing, email, phone messaging)
Cleaning

Please put in numerical order 1 to 3 (1 being highest and 3 being lowest) your preference on the following work shifts.

Mornings
Afternoons
Evenings

Final Checklist of Application Procedures

Please indicate your 1st and 2nd preference in Staff Orientation sessions. To be eligible for an interview, you must attend ONE of the Orientation sessions listed below. The Orientation session is an informational session discussing KidSpirit programs, expectations of all staff, job descriptions and staff contract stipulations. You will receive confirmation of enrolled Orientation via email, following your application submission.

Mandatory Orientations

NEW STAFF - in 129 Langton Hall (attend only one):
Not Available First Choice Second Choice Tuesday, March 18: 4:30pm - 7:30pm
Not Available First Choice Second Choice Sunday, March 30: 3:00pm - 6:00pm
Not Available First Choice Second Choice Sunday, April 6: 6:00pm - 9:00pm
Not Available First Choice Second Choice Monday, April 7: 6:00pm - 9:00pm
Not Available First Choice Second Choice Saturday, April 12: 2:00pm - 5:00pm
Not Available First Choice Second Choice Monday, April 14: 6:00pm - 9:00pm
Not Available First Choice Second Choice Friday, April 18: 6:00pm - 9:00pm
Not Available First Choice Second Choice Sunday, April 20: 2:00pm - 5:00pm
Not Available First Choice Second Choice Friday, April 25: 6:00pm - 9:00pm

RETURNING STAFF - in 124 Langton Hall (attend only one):
Not Available First Choice Second Choice Tuesday, April 8: 7:00pm - 9:30pm
Not Available First Choice Second Choice Sunday, April 20: 6:30pm - 9:00pm

Check List!

ONLINE APPLICATION

• Read through job description & information pages
• Complete and submit employment application and supplements on or BEFORE due date
• Print TWO Confidential Employment Background Questionnaires to give to references.

SUPPLEMENTAL INFORMATION

Mail, email, fax or hand deliver to KidSpirit:

• Submit TWO Confidential Employment Background Questionnaires
• Submit resume
• Submit copy of current certifications held or dates of expected certifications
• If applying to be a Head Instructor, submit one example of a lesson plan for a 50-60 minute activity of your choice

APPLICATION DUE DATE: Online application is due 24 hours or more PRIOR to your Staff Orientation. Supplemental Information submitted to KidSpirit at this time! All payments due upon hiring. Please do not write checks or pay before hiring is finished.

KidSpirit
College of Health & Human Sciences
Oregon State University
125 Langton Hall
Corvallis, OR 97331
541-737-5437
541-737-2788 (fax)
kidspirit@oregonstate.edu

By submitting this application, you are confirming that all given information is correct.