Adventure Valley Day Camp | Staff Application

2012 Summer Day Camp - Online Staff Application

Note: Please be aware that this page may time-out due to inactivity and it is recommended that you save your detailed responses in a word processing document before submitting this form.

*Required Fields

*First Name:	*Preferred Position:	Descriptions
*Last Name:	Birthday: MM/DD/YYYY
*Email:		**Those applicants 18 years or older are not required to provide their date of birth on this application. Upon being hired, all staff must provide SIN numbers and proof of age.

Home Address			School/Other Address
			Until What Date?
*Address			Address
Apt			Apt
*City			City
*Province			Province
*Postal Code			Postal Code
Home Phone			Home Phone
Cell Phone			Cell Phone

Education (2011/2012 school year):

High School:

Grade:
School:

College/University:

Year:
School:
Program:

Other Education, Certificates or Qualifications:

Please Describe:

If Graduated:

School:
Graduation Year:

Extra-curricular/Volunteer activities:

Describe:

Previous Camp Experience:

What camps did you attend as a camper?

Camp:
Year(s):

Camp:
Year(s):

What camps did you attend as a staff member?

Camp:
Year(s):
Position(s):

Camp:
Year(s):
Position(s):

Have you done a leadership training/CIT program at a camp? If so, which camp?

REFERENCES:

Please indicate 3 people, other than friends or relatives, who can act as references for you. Preferably, one of these references should be school related (advisor, guidance counselor, teacher, coach, etc.) and one should be a previous employer. These people should have knowledge of your character, experience and abilities.

*Reference 1:

Name:			Organization:
Email:			Title:
Phone:			Length of Relationship:
Relationship:

*Reference 2:

Name:			Organization:
Email:			Title:
Phone:			Length of Relationship:
Relationship:

*Reference 3:

Name:			Organization:
Email:			Title:
Phone:			Length of Relationship:
Relationship:

Reference 4: (Note: having a fourth reference is optional but will make the hiring process quicker.)

Name:			Organization:
Email:			Title:
Phone:			Length of Relationship:
Relationship:

Current Qualifications
(please check all that apply):

	Bronze Cross
	National Lifeguard Service (NLS)
	Standard First Aid
	CPR Basic Rescuer
	Red Cross Instructors
	Lifesaving Instructors
	Coaching Level 1 or other
	AST
	Ropes Course
	Gymnastics
	Tennis

Preferred Age Group:

*Which age group(s) do you feel you are best suited to work with?

	2 to 4
	4 to 6
	6 to 13
	All Ages

*Why do you feel you are best suited to work with the age group(s) you selected?

Please describe any camp activities in which you have specific interest or training:

*Why do you want to work at Adventure Valley?

*What experiences have you had working with children?

*Describe one of your favourite childhood memories:

*Explain a time when you have gone above and beyond the call of duty?

*The majority of our summer staff members must be prepared to commit to the entire camp season (July 2 - August 24) as well as pre-camp training. Are you prepared to make this commitment?

YES NO

*Do you have a verbal/written commitment or agreement with any other camp for the upcoming summer?

YES NO

Are you intersted in working with children with special needs?

YES NO

*Have you ever been convicted of a criminal offense for which a pardon has not been granted?

YES NO

What are your salary expectations for the entire summer? (not hourly wage)

Additional Information/Comments:

How did you hear about Adventure Valley?

By submitting this application:

I certify that all information provided is true and correct.
I authorize and provide my consent to Adventure Valley to investigate and obtain information regarding all statements/information contained herein, and/or to check into my background by any means deemed necessary including, but not limited to requesting or receiving any information and/or references from any persons, schools, organizations or previous employers.
I understand and agree that Adventure Valley, at their discretion, could request that I provide a vulnerable sector screening and/or criminal reference check.
I release Adventure Valley from any and all liability and/or damages resulting from the information sought or obtained by Adventure Valley in the course of considering this application.

Any false statements/misrepresentation/omission of facts made on this application form may result in rejection of my application or immediate dismissal if hired.

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