Please fill out this form completely and carefully.
Please email Tom Quinn tquinn@uwsp.edu with an attachment of your resume.
If you have any questions or need more information, please call 715-824-2428.
Circle the last school year completed: High School 9 10 11 12 College 1 2 3 4 5 Masters Degree 1 2
College/School Name: Major/Minor: Dates Attended:
Please list coursework, workshops, or training you have taken which are relevant to the position for which you are applying:
List any current certifications you have and their expiration date: (lifeguard, CPR, etc.)
Camp Skills
Please rate the following as:
1 – Knowledgeable in subject matter and comfortable leading program
2 – Some knowledge and able to lead program with limited training
3 – Little or no knowledge, but willing to learn
4 – No interest in learning or teaching topic
1 2 3 4 Plants 1 2 3 4 Water 1 2 3 4 Wildlife 1 2 3 4 Composting 1 2 3 4 Alternative energies
Waterfront
1 2 3 4 Swimming 1 2 3 4 Canoeing 1 2 3 4 Kayaking
Arts and Crafts
1 2 3 4 Journaling 1 2 3 4 Nature crafts 1 2 3 4 Tye dye 1 2 3 4 Painting/drawing
Evening Programs
1 2 3 4 Astronomy 1 2 3 4 Musical instruments 1 2 3 4 Storytelling 1 2 3 4 Night hikes 1 2 3 4 Skits 1 2 3 4 Campfire songs
Outdoor Skills
1 2 3 4 Archery 1 2 3 4 Tree climbing 1 2 3 4 Orienteering 1 2 3 4 Survival 1 2 3 4 Tracking 1 2 3 4 Outdoor cooking
1 2 3 4 First aid 1 2 3 4 Fishing 1 2 3 4 Fly tying 1 2 3 4 Primitive camping 1 2 3 4 Challenge course/group initiatives
May we contact the previous employers, references, and schools named in this form? Yes No
Questions
What contributions do you think you can make to CWES, summer campers, and fellow program staff?
What contributions do you think a well-run camp can make to children?
Write a brief biographical sketch including any training and experience with children,
camping, environmental education, and/or other fields that may have a bearing on a position at CWES.