CALIFORNIACONSERVATIONCORPS

BACKCOUNTRYTRAILSPROGRAM2018APPLICATION

APPLICATIONINSTRUCTIONS:Pleasereadthefollowinginstructionscarefullybeforecompletingthisapplication.Youwillonlybeabletosubmityour applicationONCE. Acompleteapplicationpackageconsistsofthefollowingitems: 1)2018BackcountryTrailsApplication - answer all questions that apply and attach additional pages if needed2)Personal Reference Form 3) Professional Reference Form (If you are currently in the CCC, your professional reference should be from a current or

former CCC supervisor.) Lateorincompleteapplicationpackageswillnotbeconsidered.Allapplicantsmusthaveacurrent,workingemailaddressto beeligible.

Allinformationrequestedmustbegivenandallquestionsmustbeansweredcompletelyandaccurately.Youmaybe disqualifiedforanyfalseormisleadingstatementsorforomittinginformation. Duringthecourseoftheapplicationprocess,youwillbeaskedtoattachedcertificationsanddocuments.Bepreparedtoscan andattachdocuments.Youmayberequestedtoprovideadditionalinformationregardingyourqualifications.

**IMPORTANT** WEWILLNOTBEABLETO RETRIEVE FILES FROM CLOUD-BASED SERVERS (e.g. Google Drive, Dropbox, iCloud, etc.). ALLAPPLICATIONSANDDOCUMENTATIONMUSTBEEMAILEDASAN ATTACHED PDF.

Emailcompletedapplicationsto:backcountrytrails@ccc.ca.govwith“yourname,BCTPApplication”inemailsubjectline. InstructyourchosenreferencestodownloadandcompletetheProfessionalorPersonalReferenceFormofftheBackcountry webpagefoundat:http://www.ccc.ca.gov/go/backcountryandemailcompletedformto:backcountrytrails@ccc.ca.govwith“YourName,BCTPReference”inthesubjectline.OR,emailtheReferenceFormstothemdirectlyforthemtocompleteand emailuswiththesamesubjectlineto:backcountrytrails@ccc.ca.gov.Youmayalsoprovidemorethantworeferences. Referencesmaybecontactedforfurtherinformation.Referencesmayalsocontactusatbackcountrytrails@ccc.ca.govifthey haveanyquestions. APPLICATIONDEADLINEISFEBRUARY15,2018.NOAPPLICATIONSORREFERENCEFORMSWILLBEACCEPTEDAFTERTHISDATE. AGAIN,lateorincompleteapplicationpackageswillnotbeconsidered.Applicationsandreferencesmustbesentas attachmentsandcannotbesubmittedthroughanykindof“Cloud”basedsystemse.g.,GoogleDrive,Dropbox,OneDrive,etc.. Also,remembertoattachcopiesofanycurrentcertifications. Onceyourapplicationpacketisreceivedbyuswemaycontactyouviaphoneoremailforafollowupinterview.Youwillbe notifiedofyourstatusonornearMarch16,2018,viaemail.Unfortunately,duetothehighnumberofapplicationswereceive andstaffingconstraints,thisisthebestwayforustonotifyapplicantsoftheirstatus.Ifyouhaveanyadditionalquestions emailusatbackcountrytrails@ccc.ca.gov.

AreyouaMilitaryVeteran? YES NOBranch: DatesofService: to IfyouareaMilitaryVeteran,pleaseattachaDD‐214withyourdischargestatusandservicetime.

ForCurrentCCCCorpsmembersONLY:

CCCHireDate:

Center: SupervisorName:

TimeinCCC: years

months

NumberofMonthsonGradeCrew: AreyouaSecondChancer?

YES NO

HowmanyBackcountrySpikeshaveyoubeenon?

Classification: Date of Supergrade:

BlueHat Orange Hat

Green Hat Specialization:

Red Hat

BlueCard:

YES NO

ClassBLicense:

YES NO

 

 

GENERALINFORMATION:FullLegalName:

Last: First: Middle:

Preferrednameornickname:

DateofBirth (MM/DD/YYYY)

Age:

PrimaryPhone(xxx)xxx‐xxxx: Texts OK?

AlternatePhone(xxx)xxx‐xxxx: Texts OK?

EmailAddress:              

CurrentMailingAddress: NumberandStreet: City: State: Zip:

EDUCATIONALBACKGROUNDANDTRAINING: Whatisyourhighestlevelofeducationcompleted?

GED HSDiploma 2 yrCollegeDegree Bachelor'sDegree GraduateDegree Other Ifyouarecurrentlyattendingcollegeorhaveacollegedegreecompletethefollowing:

SchoolNameandLocation:

DegreeEarned? YES NO

TypeofDegreeandSubject:

DatesAttended: to

Ifcurrentlyinschool: SpringSemester End Date: Fall Semester Start Date:

GENERALQUESTIONS: Answer questions that apply, attach additional pages if needed.HowdidyoulearnabouttheBackcountryTrailsProgram?

YES NO HaveyoueverappliedtotheBackcountryTrailsProgrambefore? IfYES,what years? HaveyouevercompletedorareyoucurrentlyenrolledinanotherAmeriCorpsprogram? YES NO IfYES,givethe name of the program and dates you were enrolled:

The2017BCseasonstarts4/22/2018andends9/30/2018.Canyoustartandendonthosedates? YES NO Excludingafamilyemergency,isthereanyreasonwhyyouwouldneedtoleaveduringtheseason? IfYES, give dates and explain why:

Doyouhaveanydietaryrestrictionsorfoodallergies?Ifyespleasespecify. YoureligibilityforthisprogramiscontingentupontheresultsoftheNationalServiceCriminalHistoryChecksthatarerequiredforthisposition.ThosecriminalhistorychecksincludetheNationalSexOffenderPublicWebsite,FBI,CADepartmentofJustice,andStateofResidencecheckifyoudonotresideinCA.Doyougiveuspermissiontoperformthesecriminalhistorychecks?Failuretodosowillresultinyourineligibility. YES NO

Haveyoueverbeenconvictedofacrime? YES NO

Areyoucurrentlyonprobationorparole? YES NO

IfYES,pleaseindicatethecrimeandthetermsandconditionsofyourparoleorprobationincludingthedatethat yourprobation/paroleends.Thisincludesinformalprobation:

EMPLOYMENTHISTORY&VOLUNTEEREXPERIENCE:NOTE:Pastemployersmaybecontactedforverification. Inadditiontofillingoutthefollowinginformationyoumayattachyourcurrentresume(optional). Company: Supervisor: Title: Phone: Email: CompanyAddress: DatesofEmployment:Start: End: YourJobTitle:

Hours/Week: Numberofdaysmissed:

ReasonforLeaving:

JobDuties:

Company: Supervisor: Title: Phone: Email: CompanyAddress: DatesofEmployment:Start: End: YourJobTitle:

Hours/Week: Numberofdaysmissed:

ReasonforLeaving:

JobDuties:

Company: Supervisor: Title: Phone: Email: CompanyAddress: DatesofEmployment:Start: End: YourJobTitle:

Hours/Week: Numberofdaysmissed:

ReasonforLeaving:

JobDuties:

Describeanyotherrecentworkorvolunteerexperiences,includingdates,whereyouperformedduties/tasksthat wouldberelevanttobeingabackcountrytrailcrewmember.

Haveyoueverbeenfired,quitinlieuofgettingfiredorbeeninvolvedinaseriousdisciplinaryincidentatwork? YES NO

IfYESthendescribetheincident.

TRAININGS,CERTIFICATIONSANDOTHERSSKILLS - attach additional pages if needed

DoyoupossessanycurrentlevelofEmergencyResponse/FirstAidTraining?(e.g.,CPR,BasicFirstAid,Wilderness FirstAid,WildernessFirstResponder,WildernessEMT,EMTetc..)ListleveloftraininganddatesofcertificationAND

attachcopiesofcurrentcertificatestothisapplication.

Listyourknowledgeofandexperienceusingprimitivehandtools (e.g.single anddoublebitaxes, hammers, rockbars,shovels,axe/pickmattocks,McLeods,Pulaskis,etc.)

Describeyourknowledgeoforexperience(ifany)constructingand/ormaintainingtrailsofanykind.

Listanyotherskillsyouhavethatmayberelevanttobeingabackcountrytrailcrewmember:

APPLICATIONQUESTIONS: Answer all questions, attached additional pages if needed 1.

WhydoyouwanttojointheBCTrailsProgramANDwhatdoyouhopetogainfromthisexperience?

2. WhatpersonalqualitiesdoyouhavethatwouldmakeyousuccessfulinourprogramANDanexcellent

backcountrytrailcrewmember?

3. Whataresomepersonaltraitsyoupossessthatotherswillstrugglewith?

4. Whatwillbeyourgreatestchallenge(s)inourprogramANDwhy?

5. Theessentialfunctionsofthispositionrequireyouto:hikeataminimumpaceof3MPHandupto20miles(or for4ormorestraighthours)onsteep,ruggedterrainatelevationsupto12,000feetwith40to60lbs.onyour backonadailybasis;lift,roll,andmoveobjectsuptoseveralhundredpounds;swingtoolsweighingupto16 lbs.andperformhighlyrepetitiveworkfor8hoursaday.Areyouabletodothis? YES NO

Describe the most physically demanding work that you have done for a prolonged period of time:

6. Thispositionrequiresyoutoliveandworkinremote,backcountrylocationsandperformthedutiesofthe

positioninruggedenvironmentsandinadverseweatherconditions.Therearenomodernconveniences.Youronlycommunicationwiththeoutsideworldisbymail.Describeanyexperiencesyou’vehadliving,working,and/orrecreatinginthesetypesofconditions.ANDdescribethemostphysicaldiscomfortandmostmiserableconditionsyouhaveenduredforaprolongedperiodoftime.

7. WhatisyourdefinitionofcommunityANDhowwillyoucontributetocreatingahealthy,well‐functioning communityonyourbackcountrytrailcrewifyouareselected?

8. TheBCTrailsProgramisverystructuredandregimented.Therearealotofrulesandpoliciesinplacethatgovernpersonalbehavior,workperformance,programparticipationandlimitpersonalchoice.Thereisverylittle“freetime”or“alonetime”inourprogramandtherearehighexpectations/standardsourmembersarerequiredtoliveupto.Howdoyoufeelyouthiswillaffectyou?Howdoyouthinkyouwilladapttothis?

9. Beingonabackcountrytrailscrewwith13‐17otherdiverseindividualsisverysociallychallenging.Conflicts

and/ordisagreementsoftenarise.Describeaconflictyouwereinvolvedwithinthepast.Howdidyouhandleitthen?Howwouldyouchangehowyouhandleditthenifyoucouldrelivethesituation?

10. Whatdoesintegritymeantoyou?ANDdescribeasituationwhenyourownpersonalintegritycameintoplay somewhereinthepast.Howdidyouhandleit?

11. TheBackcountryTrailsProgramisadrugandalcoholfreeprogramandwehaveazerotolerancepolicy. Everyoneinourprogramisrequiredtocompletetheseasonwhileabstainingfromdrugsandalcohol.If selected,willyouremainsoberandsignaSobrietyPledgestatingyouwillnotusedrugsoralcoholwhile participatinginourprogram?

YES NO

12. Haveyouthoroughlyreadalloftheinformationonourwebsite,lookedatthePositionDescription,Position Analysisandpersonalequipmentlistandviewedtherecruitmentpresentation? (http://www.ccc.ca.gov/go/Backcountry)

YES

NO

 

13. Backcountry Trails Program members must meet AmeriCorps eligibility requirements. Are you are citizen, national, or lawful permanent resident alien of the United States?

YES

NO

CERTIFICATION

IcertifythattheaboveinformationIhavegivenistrueandcorrecttothebestofmyknowledgeandIunderstandthatanymisinformationoromissionofinformationcouldresultindisqualificationortermination.

Youmustindicateyouracceptanceofthisstatementbycheckingtheboxbeforeyourcertificationcanbesubmitted.Checkingthisboxandenteringyournamebelowwillbeconsideredthesameasawrittensignature.

SIGNATURE ____________________________________________________ DATE ______________