Please fill out the application completely

Contact Information 

    Name: First Last

    Age:

    Date of Birth

    Current Address
    Street AddressAddress Line 2City

    State / Province / RegionPostal / Zip Code

    Country

    Best E-mail Address: ;

    Home Address (if different from current address)

    Street AddressAddress Line 2City

    State / Province / RegionPostal / Zip Code

    Country

    Land Line Phone Number --

    Cell Phone Number--

    Education

    College (name and year, major)

    High School

    What grade are you currently in?

    Masters/Specialized Courses/Special Training

    Have you in the past been a Camp Lakota Staff member or Camper?
    YesNo

    How Did you Hear About Us
    WebsiteFriendRelativeAlumniOther

    If Friend, please let us know the name of your friend that you referred you to Camp Lakota

    If Other, please tell us how you have heard of Camp Lakota.

    Please tell us why you want to work at Camp Lakota. What experience do you have with working with and motivating children?

    Please let us know if you are a Red Cross Certified Lifeguard, and please let us know what other certifications you might have.

    Please outline for us your areas of specialty, this might be waterfront, pioneering, arts & crafts, sports, drama, gymnastics, etc. Please describe your experience and background in these areas.

    Activity Overview

    Please review the list of Activities Below, please check off after each activity your level of proficiency based on the following scale. If you don't feel you have any level of experience in a certain area please leave it blank.

    Highly skilled &
    experienced / able to
    teach
    Skilled and
    experienced
    Somewhat skilled
    and experienced

    Pool Activities 123

    Lake Activities 123

    Motor Boat Driver 123

    Sailing 123

    Rowing/Canoeing/Kayak123

    Field Sports123

    Softball/Baseball 123

    Tennis123

    Lacrosse123

    Hockey123

    Basketball123

    Soccer123

    Football123

    Volleybally123

    Dance123

    Drama123

    Ceramics123

    Jewelry123

    Leather123

    Camp Crafts123

    Painting/Drawing123

    Fencing123

    Archery123

    Martial Arts123

    Photography123

    Video123

    Climbing & Repelling123

    Golf123

    Go-Karts123

    Zip Line123

    Low Ropes Teamwork course 123

    Camping Out123

    Hiking123

    NatureProgramine123

    Nature - Animal Care123

    Mountain Biking123

    Aerobics123

    Magic123

    Cooking123

    Horseback Riding123

    Additional Information

    All Counselors must agree to be part of our 8 week summer program. This includes our 1 week staff orientation and training program which begins directly before our 7 week camper program.

    Our Full Counselors at Camp Lakota are entering at least their Freshman Year of College. They must be at least 17+ years and a High School Graduate.

    Our A.C.s (Assistant Counselors) are entering their Senior Year of High School and must be 16+ years of age.
    • I agree, that by submitting a staff application with Camp Lakota, I am authorizing Camp Lakota to conduct a criminal background check as required by Camp Lakota, the NY State Dept. of Health and the American Camping Association.
    I agree

    Summer Address...

    56 Park Road - Wurtsboro, NY 12790

    Ph: 1-845-888-5611

    Fax: 1-845-402-7440

    Email: Info@CampLakota.com

     

    Winter Address...

    26 Gedney Way Chappaqua, NY 10514

    Ph: 1-866-7-LAKOTA (1-866-752-5682)

    Fax: 1-845-402-7440

    Email: Info@CampLakota.com


    Florida Winter Office:

    Ph: 1-561-445-8502