Camp Canadian

2016 Staff Application Form

Before you complete this for please read the staff
application form
In addition to this application form, please submit a cover letter
and resume
Position(s) applying for:
_____________________________________________________________________________________
_____________________________________________________________________________________

General Information
Last Name:

Permanent Address
Street:

Telephone Home:

Parent/Guardian Name(s):

Birthday (MM/DD/YYYY)

First Name:

City:

Postal Cade:

Email (all staff communications will take place by

email)

Parent /Guardian Telephone:

Will you be 16 years of

age or older by July 1st?
(please circle)
Yes
No

Shirt Size (for staff

clothing)

How did you hear about camp Canadian

Education
School

Program

Year/ Grade

Work History
Employer

Position

Type of work

Dates (start and

end)

Volunteer & Extra - Curricular Experience

Organization

Position

Type of Work/Experience

Dates

Certifications (example NLS, First Aid)

Organization

Certification

Date Received/ Valid

Through

Camp Experience
As a Camper
Camp:

Number of Years Attended:

As a Leader- in- training

Camp:

Number of Week/Years Attended:

As Camp Staff
Camp:

Director:

Position:

Year:

References
All applicants are required to submit the contact information of a minimum of two
references that have given you promotion to be contacted. No immediate family
may be used as an reference.
Name of Reference:

Name of Organization/Business:

Phone Number:

Email Address:

Title / Position / Relationship to Applicant:

Name of Reference:

Name of Organization/Business:

Phone Number:

Email Address:

Title / Position / Relationship to Applicant:

Name of Reference:

Name of Organization/Business:

Phone Number:

Email Address:

Title / Position / Relationship to Applicant:

For ALL Applicants

Camper and Community Questions
Please BRIEFLY complete these questions and include them with your application.
1. What special skills and abilities would you bring to staff this summer?

2. What three qualities make a great leader?

3. What do you want a camper to say about you in the car ride home with
his/her parents?

4. Anything else that you feel we should know about you

For Program Coordinators & Program Director

ONLY
Please provide a 1-hour lesson plan for a Day Camper (5-10 year olds) in the area(s)
you are applying.
For the Program Director Position, provide a list of all-camp activities for a week of
themed
Programming include at least 1 activity per day and any additional information
you think would
Contribute to your chosen theme for the week.

Confirmations
Please confirm the following statements (X):
I understand that Staff Training is a MANDATORY training event and will be held
May 21-23 &
July 3-8, 2016.
I understand that a current criminal record check, current qualifications and a
copy of my social
insurance number are required to be on file with Camp Canadian by June 1, 2016.
I have included the completed:
Application
Additional Question
References
Resume
Cover Letter
Signatures
(Your application is not complete without the following signatures.)
I understand that false statements made by me will disqualify me from employment
or, if
employed, will be sufficient for termination.
Applicants Signature: ________________________________ Date:________________
If the applicant is under the age of 18, please obtain the signature of a parent or
guardian.
As parent or guardian of the above applicant, I endorse this application for a staff
position at Camp
Canadian.
Signature: __________________________________________ Date: _______________
All applicants are thanked for their application; however, only those selected for
interviews will be

contacted.
All successful applicants will be required to provide Camp Canadian with a current
criminal reference
check BEFORE JUNE 1, 2016 and a Social Insurance Number prior to commencing
work.