** All fields are mandatory; please enter n/a for not applicable fields.
General Employee Information
First Name:
Last Name:
Home Address:
City:
Province/State:
Postal Code/ZIP:
Mailing/University or College Address (if different from home):
City:
Province/State:
Postal Code/ZIP:
Home Phone:
Other Phone:
E-mail Address:
Age (as of December 31
st
after camp):
Date of Birth (mm/dd/yy):
/
/
Grade/University Year:
Social Insurance Number:
Ontario Health Card Number:
Driver's License Number:
Driver's License Class:
No License
G1
G2
G
F
Other (please specify)
Smoking is not permitted on camp outings or anytime when you are on duty.
Do you smoke?
Yes
No
Could you perform your duties for the entire program day without smoking?
Yes
No
What position(s) would you like to be considered for? (Refer to the list on the back of this page if you are uncertain). Please be specific - applicants are selected to interview based upon the availability of the position to which you are applying (in addition to experience, qualifications and references).
1st Preference:
2nd Preference:
3rd Preference:
What duration of employment are you interested in?
Spring Only - 2 months
May 2 to June 27
Entire Summer - 4 months
May 2 to September 5
Camp Wahanowin Only
June 28 to August 20
** Approximate dates only. Please note that a limited Spring Session + option (3 Months: May 2 - July 28) can be discussed with a director during the interview.
Education Background
Name of School:
Year of Graduation:
Certificate or Degree pursuing:
High School
University/College
Note: Proof of age and school grade is required if attending High School
Camp Background (if any)
Name of Camp:
Location:
Last Year Attended:
As a Camper
As a Staff Member
Additional Information
What qualifications do you currently hold (must be valid throughout your employment and you must attach a photocopy)?
Bronze Medallion
Bronze Cross
ORCA (specify)
N.L.S.
Red Cross Instructor
NCCP (specify)
R.L.S.S. Instructor
R.L.S.S. Examiner
Other (specify)
First Aid
CPR
n/a
Tell us briefly of any work experiences or training, which would be helpful in your job at camp:
What age groups of children/adults (if any) have you worked with?
What age groups do you prefer working with?
Explain briefly why you would like to work at Camp Wahanowin.
Name any current or past Wahanowin staff you know.
Camp Skills
Please rate the following camp skills:
N
=Not Qualified /
I
=If you feel qualified to instruct /
A
=If you are proficient enough to assist instructing
Atheletic Sports:
Creative/Artistic:
Outdoor Pursuits/Environmental:
Aerobics:
N
I
A
Arts & Crafts:
N
I
A
Animal Care:
N
I
A
Baseball:
N
I
A
Clay:
N
I
A
Archery:
N
I
A
Basketball:
N
I
A
Computer/Internet:
N
I
A
Canoe Tripping:
N
I
A
Hockey:
N
I
A
Cooking:
N
I
A
Canoeing:
N
I
A
Football:
N
I
A
Costume Making:
N
I
A
First Aid:
N
I
A
Golf:
N
I
A
Dance:
N
I
A
Fishing:
N
I
A
Gymnastics:
N
I
A
Drama:
N
I
A
Hiking:
N
I
A
Martial Arts:
N
I
A
Painting:
N
I
A
Initiative Tasks:
N
I
A
Sailing:
N
I
A
Photography:
N
I
A
Kayaking:
N
I
A
Soccer:
N
I
A
Pottery:
N
I
A
Mountain Biking:
N
I
A
Swimming:
N
I
A
Radio DJ/Tech:
N
I
A
Natural Sciences:
N
I
A
Tennis:
N
I
A
Technical (AV):
N
I
A
Riflery:
N
I
A
Water Skiing:
N
I
A
Theatre Props/Sets:
N
I
A
Ropes/Belaying:
N
I
A
Weight Training:
N
I
A
Web Page Design:
N
I
A
Woodworking:
N
I
A
Windsurfing:
N
I
A
Recent Employment Background
Place of Employment:
Phone Number:
Dates of Employment:
Position:
References
Give the names of three persons who are former employers or some other person who has had an opportunity to observe you in a working situation (relatives and friends are not acceptable references). If you have been staff at another camp, please include the name of the Director. We will be calling your references listed - please notify them of this.
Name:
Relationship to you:
Phone Number:
1)
2)
3)
Note:
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