american village camps veteran application

AMERICAN VILLAGE CAMPS
GLUE YOUR
PHOTO HERE
VETERAN APPLICATION
Coller votre
photo ici.
Office Use Only
; I have already worked for American Village.
______________
Year and your nickname: _________________________________
Basic Information
Name :
__
Last
 MALE
 FEMALE
First
Email :
Phone Number : (+
_______ ________
)
________________
Country code
Definite Availability (in European format Day/Month/Year) : from _______/_______/ 2015
Language Skills
English
to _______/_______/ 2015
Circle your level.
None
Survival
Good
Fluent
French
None
Survival
Good
Fluent
My native language is (ma langue maternelle est le) ______________________________
Experience in a
foreign country
Where, when, for how long?
1. Which age groups did you work with?
Kids: 8 – 12
Youngsters: 10 – 13
Teens: 12 – 15
Freshmen: 15 – 17
Daily Life Counselor
HLC
2. What positions did you fulfil during your employment?
Your Previous
AmVil Experience
Activities Counselor
ESL Counselor
3. Which American Village sites have you worked at? _____________________________________
4. Which camp programs have you participated in ?
What have you
been doing since
last working at
American Village?
Studies, working, traveling?
American Village Original
American Adventure
My First American Village
English Club
English Around the World
Are you already in France?
Yes
No
If so, please attach a copy of your visa, récipissé, or carte de séjour (non-EU).
American Village
Skills Overview
Diplomas & Certifications Diplômes et certifications
Foreign Applicants: Language Counselor
A high school diploma is required of all applicants.
BAFA :
University Degree :
BAFD :
Associates
Bachelors
Masters
French Applicants : Daily Life Counselor
Stagiaire
Titulaire
équivalence : __________
Stagiaire 1
Stagiaire 2
Titulaire
From which school : _______________________________
BAFD équivalence : ________________________
ESL Diploma:
AUTRES :
TEFL
TESOL
TESL
CELTA
1
PSC1
AFPS
BSB
Joint
Applications
I am applying with _________________________________________
I am willing to accept a position independently of
this person.
* Strongly Advised
I am not willing to accept a position independently
of this person.
Identity Identité
Address :
_______________
Number
Street
Apt. Number
____________
City
State
Passport Number / N° Carte d’identité
Postal Code
_________________________________ Expiration Date (D/M/Y) : ____/_____/20__
Nationality : _________________________
Marital Status
Country
E.U. CITIZEN Numéro Sécurité Sociale (français) : _______________________
 Single Célibataire
 Partnered Concubinage
 Married Marié(e)
Work Experience (since last employment at camp) Expériences Professionelles (depuis American Village)
Employer
Dates Employed
Position
Supervisor’s Contact Information
Veteran’s Questionnaire Questionnaire pour animateurs vétérans.
Respond to each section on an attached page (in French or English). Please limit your responses to a maximum of one page each.
1. Tell us why you want to come back to American Village, and what you personally bring to the team.
2. If you would like to be considered for a position of Head Language Position, please include a motivation statement. (Needs to
be available the last week of June for training)
3. Is there a specific camp program for which you are qualified? What can you bring to that program to make it better? (program
descriptions on page 3).
Disclosure Passé Judiciaire
Have you ever been convicted of any misdemeanors or felonies?
Avez-vous déjà été condamné pour un délit ou un crime?
Have you ever had a complaint filed against you for child mistreatment?
Est-ce quelqu’un a déjà déposé une plainte contre vous pour maltraitance envers des enfants?
Have you been or are you currently chemically dependent or involved with illegal drugs?
Êtes-vous ou avez-vous été dépendant de drogues ou produits illicites?
□ Yes
□ No
□ Yes
□ No
□ Yes
□ No
If you answered "yes" to any of these questions, please explain on a separate sheet of paper and attach it to the application.
Answering "yes" to the above questions does not automatically disqualify you from being hired as a counselor.
Si vous avez répondu « oui » à une ou plusieurs de ces questions, veuillez expliquer la situation sur une feuille ‘séparée. Le fait de répondre “oui” ne vous exclue pas
systématiquement de la procédure de recrutement.
I hereby certify that the information contained in the pages of this employment form is true and accurate to the best of my
knowledge. I accept that any willful falsification or attempted deception constitute grounds for termination of my candidacy or,
after hiring, for immediate dismissal.
Je soussigné(e) certifie que tous les renseignements contenus dans les pages de ce formulaire de candidature sont à ma connaissance vrais et exacts.
J’accepte le fait qu’en cas de falsification ou de fraude volontaire de ma part ma candidature soit immédiatement rejetée ou mon embauche annulée.
Signature______________________________________________ Date _______________________
Printed Name ______________________________________________________________________
2
Information Page : To Keep (à conserver)
SEND YOUR APPLICATION TO :
Merci de renvoyer votre dossier complet à :
NACEL/American Village
Dossier Candidature
BP 83329
12033 RODEZ CEDEX 9
FRANCE
Documents in case of hire. Les documents indispensables en cas d’embauche
Foreign Counselors (non-French)
French Counselors
Photocopie de la carte d’identité française
Photocopy of your passport
Photocopie des diplôme(s), surtout BAFA
Photocopy of your birth certificate WITH Apostille
Carnet de vaccinations à jour
* unless you have already worked in France and have a
Casier judiciaire
French social security number
Recent criminal background check
Photocopy of diploma(s)
Proof of vaccinations
Veteran Counselors :
We keep counselors’ files for 5 years. When you reapply, we will let you know what documents we need to update
your file (ex: diplomas, valid passport, vaccinations).
Please remember that your passport must always be up-to-date, and a recent criminal background check is always
required. If you have any new documents since your last employment, prepare them in order to update your file!
The Different Camps Les programmes
Camp, dates, and ages
American Village Original
March – August & October
Ages : 8-12, 12-15, 15 -17
My First American Village
July only Ages : 6 – 9
American Adventure Camp
July & August Ages : 11 – 15
English Club
February, April, July & October
Ages : 11 - 15
Description
The classic American Village
Experience! English Immersion + fun
at camp.
A first camp experience for young
English learners.
American Village with some specialty
activities lead by French instructors.
A non-immersion camp, focused on
intensive English study through
classes and activities.
3
A great candidate has
Childcare, camp, or English teaching
experience! Creativity for the daily
assembly and a silly side!
Childcare or teaching experience
with young children.
Camp experience and knowledge of
outdoor/nature activities. Creativity
for the daily assembly and a silly side!
Classroom teaching experience
and/or certifications.