2023 Seasonal Employment Application

C5 Georgia Mission - Change the odds of success for high potential teens from under-resourced communities by inspiring them to pursue personal success while preparing them for leadership roles in college, work, and their communities.

C5 Georgia seeks to recruit a group of ambitious, driven, enthusiastic staff passionate about the care and well being of our youth. We focus on creating a safehaven for our leaders, while sharpening our professional skills in a joyous and engaging environment.

Apply today to join Our Team.

Please allot at least 30 minutes to complete this application. You may create a login to save your work and return later. You may need the following: copy of your resume, 3 references with contact info, cover letter.

Interviews will start in January. Feel free to contact us at employment@c5georgia.org with any questions.

C5 Georgia Program Team

Personal Information

Returning Staff Member *

No

Yes. If so, what year? Yes. If so, what year?

C5 Georgia Alumni? If yes, please place your graduating class in "Other" *

Yes

No No

First Name *

Last Name *

Preferred Name

Preferred Pronouns

He/Him/His

She/Her/Hers

They/Them/Theirs

City *

State *

Zip Code *

Phone *

Please Check *

Cell Phone

Work Phone Work Phone

Email Address *

Position and Source of Referral

Position Applying For:(Check all that apply) (For Descriptions of each Position please see C5 Georgia Summer Position Brochure ) * 🛈

Do you meet the minimum age requirement for the position(s) you have selected? *

Yes

No

Where did you hear about us? (Click all that Apply) *

Education

	Name of School and Location	Year Graduated	Major & Course of Study
High School Or General Equivalency Diploma	Name of School and Location	Year Graduated	Major & Course of Study
Undergraduate College/ University	Name of School and Location	Year Graduated	Major & Course of Study
Other	Name of School and Location	Year Graduated	Major & Course of Study

Describe any relevant, specialized training, apprenticeships, skills, courses related and extra curricular activities related to the position for which you are applying:

Are you currently a full time student? *

Yes

No

Will you be taking Summer Courses? *

Yes

No

Experience

Please list relevant Camp or Youth Work Experience (paid or volunteer) first.

Employer

From (MM/YYYY)

To (MM/YYYY)

City, State

Email Contact

Position

Supervisor/Manager

Eligible for rehire? *

Yes

No

Reason for Leaving

Employer

From (MM/YYYY)

To (MM/YYYY)

City, State

Email Contact

Position

Supervisor/Manager

Eligible for rehire? *

Yes

No

Reason for Leaving

Employer

From (MM/YYYY)

To (MM/YYYY)

City, State

Email Contact

Position

Supervisor/Manager

Eligible for rehire? *

Yes

No

Reason for Leaving

Have you even been terminated or forced to resign from employment?

No	Yes, Please Explain Yes, Please Explain

Training/ Certification

Indicate certifications/licenses you currently hold by checking the corresponding box. (Proof of certification will be required)

Skills / Interest Areas

Please rate your proficiency in the following activities:

1 - No experience

2 - Participated in Activity

3 - Qualified to assist

4 - Qualified to Teach/Lead

Leadership

	1	2	3	4
Group Management	1	2	3	4
Conflict Resolution	1	2	3	4
Team-building	1	2	3	4
Group Facilitation/Public Speaking	1	2	3	4
Behavior Management	1	2	3	4

Camping

	1	2	3	4
Backpacking	1	2	3	4
Outdoor living	1	2	3	4
Outdoor cooking	1	2	3	4
Orienteering	1	2	3	4
Fire Building	1	2	3	4
Hiking	1	2	3	4
Wilderness Survival	1	2	3	4
Overnight Trips (Canoe, Backpacking)	1	2	3	4

Adventure

	1	2	3	4
High Ropes Course	1	2	3	4
Low Ropes/ Teams Courses	1	2	3	4
Caving	1	2	3	4
Bouldering	1	2	3	4
Canoeing	1	2	3	4
Leave No Trace	1	2	3	4

Sports & Games

	1	2	3	4
Swimming	1	2	3	4
Archery	1	2	3	4
Soccer	1	2	3	4
Volleyball	1	2	3	4
Basketball	1	2	3	4
New Games	1	2	3	4
Team Initiatives	1	2	3	4

Expression, Arts and Performance

	1	2	3	4
Drama/Theatre/Storytelling	1	2	3	4
Singing/Song Leading	1	2	3	4
Dance/ Step	1	2	3	4
Gymnastics	1	2	3	4
Guitar	1	2	3	4
Newsletter or Creative Writing	1	2	3	4
Batik/Tie Dye	1	2	3	4
Drawing/Sketching/Painting	1	2	3	4
Other Performance, Expression, or Art Skills & Interest	1	2	3	4

Do you have experience supervising children?

Yes

No

Do you have experience supervising Adults?

Yes

No

Description of Experience

Describe your experience in an Organized Camping environment (day or resident camp as a participant, employee and/or volunteer)

Describe your Leadership Experience (working/participating in leadership development program or serving in Leadership Roles.) What is your leadership style?

How will you help create a positive, working community at camp? (for both students and coworkers)

Come up with a 10 minute game appropriate for ages 12-14.

Rate yourself in the following areas (1- Needs Significant Improvement to 5 - I Excel in This Category)

	1	2	3	4	5
Positive Attitude	1	2	3	4	5
Accountability and Responsibility	1	2	3	4	5
Team Skills	1	2	3	4	5
Honesty	1	2	3	4	5
Inclusion	1	2	3	4	5
Cultural Competence	1	2	3	4	5
Focus	1	2	3	4	5
Task Management	1	2	3	4	5
MultiTasking	1	2	3	4	5
Flexibility	1	2	3	4	5
Coachable	1	2	3	4	5

References (Required) - Please do not list friends, family members, or current C5 staff. At least one reference must be a former supervisor/professional reference.

Name *

Relationship

Phone

Email Address *

Name *

Relationship

Phone

Email Address *

Name *

Relationship

Phone

Email Address *

Additional Information

Are you legally authorized to work in the United States? *

Yes

No

Are you able to perform the essential functions of the job positions for which you are applying with or without reasonable accommodation? *

Yes	No (if NO, Please Explain) No (if NO, Please Explain)

Have you ever been convicted of a felony? *

Yes

No

If yes, please explain.

Are you over the age of 21 with a valid Driver's License *

Yes

No

DMV records will be obtained and reviewed for employees for whom driving is a job responsibility. Do you have any moving violations or suspension(s) within the last three years on your driving record? *

No	Yes (if Yes, please explain) Yes (if Yes, please explain)

I understand that I am applying for employment at the C5 Youth Foundation of Georgia d/b/a "C5" and "C5 Georgia". *

I agree

The information I have provided herein is correct and complete to the best of my knowledge. I understand that if I misrepresent or deliberately leave out a fact on my application, I may be refused employment, or, if employed I may be terminated. *

I agree

I authorize C5 to contact previous employers, except where otherwise noted, for references and to thoroughly investigate my educational background, past employment, and personal history/activities that may relate in any way to my fitness for employment with C5. I will not hold any official, staff or C5 representative liable for giving or receiving information with regard to this investigation. *

I agree

C5 is committed to providing a safe and healthy environment for campers, staff, and stakeholders. I agree to uphold a drug-free, alcohol-free and tobacco-free work and living environment that also prohibits the presence of any weapons or firearms anywhere on the premises. I understand that the foregoing extends to on and off campsite property and anytime during my employment with C5 Georgia. I am dedicated to being a role model for the youth of the C5 Georgia program. *

I agree

I understand and agree that my employment with C5 Georgia Youth Foundation is at-will. As such, I may terminate my employment at any time and C5 may terminate my contract for employment without notice or cause. I agree to abide by the rules and regulations of C5 and understand that no C5 official, agent or representative has any authority to enter into any agreement, verbal, written or otherwise, concerning length of employment, wages, benefits, or other conditions of employment beyond that agreement already executed. If terminated, C5 is only liable for wages earned up to and including the date of my termination. *

I agree

I understand and agree that I am required to take a drug test as a condition to employment for the purpose of determining my abilities to perform job duties now or in the future. I further understand that I am required to undergo a physical examination upon a conditional employment offer being extended. I agree to consent to take such tests at such time as determined by C5 and to release, waive and hold harmless, the C5 Youth Foundation of Georgia, its agents, representatives, heirs and assigns from any claims arising out of or in connection with the use of information resulting from such an examination. *

I agree

I understand that C5 is an Equal Opportunity Employer. No question on this application is used for the purpose of discrimination, limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. *

I agree

C5 sets and expects the highest standards of behavior from all staff and youth participating in C5. I understand and agree that I am required to report any behavior that does not meet these standards immediately to the site director. These behaviors include, but are not limited to, sexual activity, drug and/or alcohol use, emotional concerns/issues, and physical concerns/issues among youth, staff, or between youth and staff. I understand that failure to report occurrences of the above behaviors may result in immediate termination of my employment. *

I agree

I have never been convicted on any charges related to abuse of any kind (physical, sexual, mental, emotional or otherwise). I understand that the C5 Youth Foundation of Georgia sets standards for its program to be free of any behaviors that resemble abuse of any definition. *

I agree

My signature indicates that I have read and agree to all of the certifications, authorizations and waivers listed above.

Signature of Applicant *

clear

You may attach any supporting documentation here (i.e. Resume, letters of recommendation, certificates, etc...).

First Aid	Child CPR	Adult CPR
Wilderness First Aid	Wilderness First Responder	EMT
LPN	RN	Lifeguard
Water Safety Instructor	Canoeing	Archery
ServSafe	Teaching Certificate	Small Craft Safety
Horsemanship (CHA)	Swim Instruction	Other Other