GREEN MOUNTAIN CLUB
Application for Seasonal Employment (print or type)
For the pdf version click here
Name ________________________________________________________________________
( last, first, MI)
Mailing Address ________________________________________________________________
(street, city, state, zip)
Permanent Address______________________________________________________________
(street, city, state, zip)
E-mail_____________________ Phone___________ Permanent Phone___________Best Time Call__________
Age _____ (Optional; however applicants must be 18 prior to employment) Social Security # ____________ T-shirt size___
| Education |
Institution |
Dates Attended |
Course of Study |
| High School |
_______________________ |
_____________________ |
_____________________________ |
| College or Other |
_______________________ |
_____________________ |
_____________________________ |
Work Experience
| |
Employer and Address |
Dates |
Responsibilities |
| 1. |
__________________________ |
__________ |
_____________________________________ |
| 2. |
__________________________ |
__________ |
_____________________________________ |
| 3. |
__________________________ |
__________ |
_____________________________________ |
Employer or Teacher References: (required)
| Name/Relation to applicant |
Address |
Phone |
Years known |
| 1.___________________________________ |
____________________________ |
__________ |
_________ |
| 2.___________________________________ |
____________________________ |
__________ |
_________ |
| Additional Reference: (optional) |
|
|
|
| 3.___________________________________ |
____________________________ |
__________ |
_________ |
Use a supplemental sheet if additional space is required
APPLICATION QUESTIONNAIRE
1. Earliest date available to begin employment: ______________
Earliest date employment must be terminated: ______________
2. Position(s) for which you are applying:
Backcountry Caretaker:
Site Caretaker___
Summit Caretaker ___
Lead Caretaker ___
Caretaker location preference if any_______________________________
Volunteer Caretaker (not paid)___
Environmental Education Intern___
Management Intern___
Long Trail Patrol (trail crew):
Crew member:___
Crew Leader:___
Volunteer Crew Staff (paid): ___
Volunteer Crew Member (not paid)___
Outdoor Leadership Intern___
Trail Construction Intern___
3. List all backpacking and hiking experience on the Long Trail:
4. List all other backpacking and hiking experience:
5. List your other outdoor activities:
6. List any volunteer experiences:
7A. Are you a member of the Green Mountain Club? ____
7B. Are you a member of any other trail organizations?______ Which ones:
8. Have you had any formal first aid and/or search and rescue training? If not, can you take a basic first aid course before you would begin work? (GMC usually hosts a Wilderness First Aid class in early summer.)
Please elaborate training:
9. Please rate your skill level with the following items (indicate any official certification, and specify):
(E=excellent, G=good, F=fair, N=none)
| ___ Ax |
___ chain saw |
___ composting |
| ___ Griphoist/block and tackle |
___ dry aid stone work |
___ simple accounting |
| ___ Mattock (grub hoe) |
___ Carpentry/construction |
___ auto mechanics |
| ___ rock bar |
___ Public speaking |
___ backcountry cooking |
| ___ other _______________________________________________ |
10. Have you ever worked in group situations? Please be specific:
11. Do you hve experience interacting with the public? Please be specific.
12. Have you ever done trail work? Please be specific:
13. Do you have training in natural sciences? Please be specific:
14. Do you have any supervisory/leadership experience? Please be specific:
15. What are your reasons for seeking employment on the Long Trail?
16. How did you find out about seasonal employment opportunities with the Green Mountain Club?
17. Please feel free to tell us anything else about yourself:
PERSONAL MEDICAL HISTORY
I. ILLNESSES - Have you ever had or have you now : Y/N
| _____ Swollen/painful joints |
_____ Frequent/severe headaches |
_____ Trick/lock knee |
| _____ High/low blood pressure |
_____ Muscle/tendon strain |
_____ Asthma |
| _____ Excessive leg cramps |
_____ Chronic cough |
_____ Foot trouble |
| _____ Dizziness/fainting spells |
_____ Back trouble |
_____ Epilepsy/seizures |
| _____ Palpitation/pounding heart |
_____ Nervous troubles/any sort |
_____ Pain/pressure in chest |
| _____ Any drug/narcotic habit |
_____ Shortness of breath |
_____ Excessive drinking habit |
| Please explain fully any questions answered yes: |
II. PAST MEDICAL HISTORY ( Y/N)
1.____ Do you currently take any form of medication?
2.____ Do you have any known allergies or reactions to any medications?
3.____ Have you ever had a severe reaction to insect bites or stings?
4.____ Do you have any other allergies?
5.____ Have you had, or have you been advised to have any operations, or have you had any serious illness or injury? Describe and give age at the time.
Please explain fully any questions answered yes:
Date of last tetanus injection:____________ (This should be renewed every ten years.)
I UNDERSTAND THAT ANY OMISSION OR MISREPRESENTATION OF MATERIAL FACT IN THIS APPLICATION MAY RESULT IN REFUSAL OR A SEPARATION FROM EMPLOYMENT. I HEREBY AUTHORIZE THE GREEN MOUNTAIN CLUB, INC. TO MAKE ANY INVESTIGATION OF MY BACKGROUND DEEMED NECESSARY.
Signature of Applicant _____________________________ Date______________
Mail completed application to:
Director of Field Programs
GMC
4711 Waterbury-Stowe Road
Waterbury Center, VT 05677
12/00
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