Oasis Children's Services Staff Application

2010 Oasis Children’s Services New Staff Application

Please fill out the application to the best of your ability. When finished, click the 'Submit my application' button at the
bottom of the page. Thank you.


First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Email:
Primary Phone Number:
Secondary Phone Number:
Gender:
Current Age Status:
Social Security Number:	- -
Date you are available to start work:
Last date available to work:
Tshirt size:
Age group to work with:
Have you ever worked for Oasis Before?

How did you learn about Oasis?
Referring Source Name (Name of person, school, website, etc… you learned about Oasis):

After reviewing the job descriptions and qualifications on our website, for which position would you like to be considered?
First Choice:
Second Choice:

After reviewing the program locations on our website, for which location would you like to be considered?
First Choice Location:
Second Choice Location:

SUPPLEMENTAL EDUCATION SERVICES (SES) PROGRAMS
After reviewing the Supplemental Education Services (SES) Program description on our website, are you interested in working at an SES Summer Program?
If you are familiar with and would like to work at a new Supplemental Education Services (SES) Program, for which position are you interested in applying?
First Choice SES Position:
Second Choice SES Position:

Education
Are you currently a Student?
Name of Current School or School Last Attended:
High School Name:
High School Grade Completed:
College Status in 2010-2011:
College Major:
Degree Earned (if any):

PAST EMPLOYMENT
Name of Previous Job 1:
Type of work:
City:
State:
Dates Worked:

Name of Previous Job 2:
Type of work:
City:
State:
Dates Worked:

Name of Previous Job 3:
Type of work:
City:
State:
Dates Worked:

CAMP EXPERIENCE: (Either worked at or attended)
Name of Previous Camp:
State:
Camper or Staff?:

Name of Previous Camp 2:
State:
Camper or Staff?:

CURRENT CERTIFICATIONS/CREDENTIALS:
CPR:	Expires:
Standard First Aid:	Expires:
Advanced First Aid:	Expires:
EMT/LPN/RN:	Expires:
Lifeguard:	Expires:
Water Safety Instructor:	Expires:
High Ropes/Rappelling:	Expires:
Teaching Certificate:	Expires:
Epi-Pen:	Expires:

OPEN ENDED QUESTIONS:
Why are you applying to work with Oasis?
What strengths do you feel you would bring to this position? (please use your first choice position when answering)
Have you ever worked with children before? If so, explain in what capacity and if not, explain why you are interested in working with children:
It is the first day of camp and your group is preparing to run an opening event for 15 kids. What would you suggest to get them excited for camp?

REFERENCES: (Please list only professional references: Employer, Advisor, Coach, etc., and provide a valid email address for each. Applications will not be reviewed without valid email addresses for all references.)
Name of Reference 1:
Reference 1 Email Address:
Reference 1 Phone Number:
In what capacity do you know this person?

Name of Reference 2:
Reference 2 Email Address:
Reference 2 Phone Number:
In what capacity do you know this person?

Name of Reference 3:
Reference 3 Email Address:
Reference 3 Phone Number:
In what capacity do you know this person?

Have you ever been convicted of a felony or misdemeanor?
If yes, please indicate the dates and circumstances:
Have you ever been convicted of child abuse or a sexual offense?

Certification and Release (PLEASE CHECK BOX BELOW TO DIGITALLY SIGN THIS DOCUMENT) · To the best of my knowledge and belief, the information given truly represents my background and experience. I understand that if I have knowingly or negligently misrepresented, falsified or omitted any information during the application process, I may be disqualified for employment consideration or dismissed from employment with Oasis Children’s Services. Please be patient, the form may take a few minutes. Only hit the submit button once.