Today's Date *

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Country

Country

Date available to start *

Gender (State mandate requires at least one staff is the same gender as the client. As a result there are times when we require a given gender to meet state requirements.) *

Male

Female

Are you at least 21 years old or within 7 months of your 21st birthday? * *

Yes

No

If "No" are you at least 19 years old? *

Yes

No

How Did You Hear About Us?

Are you a citizen of the United States or legally entitled to work in the United States? *

Yes

No

Have you ever been accused of child abuse or elder abuse? *

Yes

No

Is there anything currently or in the past which would prevent you from passing a background criminal investigation (BCI)? *

Yes

No

Star Guides conducts a pre-employment drug screening along with random drug screenings. Can you pass and continue to pass these screenings? *

Yes

No

Education - Please select all that apply.

Employment History

Please start with your most current employment

Employer *

Job Title *

Job Address *

Job Phone Number *

Give us a brief description of your job duties *

Start Date *

End Date *

What did you learn from this job and tell us why you are leaving?

Employer #2

Job Phone Number #2

Job Title #2

Job Address #2

Give us a description of your job duties

What Did You Learn From This Job And Why Did You Leave?

Day You Started Your Job

Day You Left Your Job

References

Please give us three references. At least two should be professional references.

Name of referral 1 *

Relationship to you *

Phone Number of Referral 1 *

Email of Referral 1 *

Name of referral 2 *

Relationship to you * *

Phone Number of Referral 2 *

Email of referral 2 *

Give us some information about you!

What is your interest in working as one of our field guides?

Do you have any previous experience working in wilderness, wilderness treatment settings and/or in youth treatment programs. *

List and describe your 3 greatest strengths in working with youth.

Tell us the ways in which you choose to embrace productive discomfort (self improvement) in your life.

What are a few of your favorite book/podcasts?