EmailThis field is for validation purposes and should be left unchanged.Thank you for your interest in serving at Northern Pines again! After applying, you will receive an email confirming the receipt of your application. The application confirmation does not mean you will or won't be on staff, just that we received your application. We will review applications and followup in March. Please contact us at connect@npines.org if you have any questions.Please note, if you leave or refresh this page before successfully submitting the form, your progress will not be saved.Your InformationName(Required) First Last Nickname or Preferred NameFor initial communication, our system will use your first name, but it is helpful to know if you go by a nickname.Gender(Required) Female Male Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age at camp(Required)Potential FeesTeachers do not pay for their week at Northern Pines. However, there are fees if you choose to take stay for the transition weekend, stay in a single room, or if you request a special diet for the week. You will have an opportunity to confirm these choices later. More details will follow closer camp. I might stay on campus for the transition weekend I might bring additional family members to campus early I might request my own room for the week I might need a special diet for the week Additional Family Members(Required)If accepted for this role, do you plan on having other family members attend the week with you? No A spouse or other adult, also applying to be a teacher A spouse or other adult, not applying to be a teacher A child in third grade or younger A child in fourth grade or older Unsure Serving with Children(Required)Serving as a teacher with a child third grade or younger is only available if you are attending with a spouse who is a conferee My spouse is attending the same week as a paid conferee and will watch our child/children during afternoon staff meetings I am not attending with a spouse who is a conferee the same week Service DetailsWhich week(s) are you applying to serve?(Required)Please review the upcoming conference details for the specific dates. You will need to arrive on campus on the SATURDAY before the conference begins for mandatory training in the afternoon. Week 1 Week 2 Both Weeks I'd be willing to serve either week(Required) Yes No Service Location(Required)Please select all positions you’d be willing to serve Nursery Preschool Classes Grade-School Classes Open to any Position Other / Non-Children's Program (please explain below) Is there anything you'd like us to know about your class preference or placement?Why do you want to serve as at Northern Pines again?(Required)Anything else you'd like to add about your application?This field is hidden when viewing the formReferencesAll applicants—new and returning—are required to provide one reference. These references cannot be related to you (sibling, parent, aunt, grandparent etc.). References should not have connections to Northern Pines and should be someone who has interacted with you within the last year. Please communicate with your references before submitting this form. We will email them with a link to the reference form on our website.This field is hidden when viewing the formPermission to Contact References(Required) You have my permission to contact my reference on my behalf to ask them to fill out a reference form online. This field is hidden when viewing the formReference Name(Required) First Last This field is hidden when viewing the formReference Email(Required) Enter Email Confirm Email This field is hidden when viewing the formReference Phone(Required)This field is hidden when viewing the formHow do you know this reference?(Required)Applicant's Contact InformationAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required)CAPTCHA
