Staff Application Form
You can fill out the online application form below, or if you prefer, you can download, print and fill out an application and send it to us by mail or fax.

*  Name:
Name most commonly used:
*  Your Email Address:
Birthday:	12345678910111213141516171819202122232425262728293031JanFebMarAprMayJunJulAugSepOctNovDec19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993
Street:
City:
Province / State:
Country:
Postal / Zip Code:
Phone:
Temp Street:
Temp City:
Temp Province / State:
Temp Country:
Temp Postal / Zip Code:
Temp Phone:
Position Desired:	-- Please choose a position --CounsellorMaintenance CrewProgram StaffGymnastics CoachTrampoline CoachWaterski CoachAdministration
Salary expected:
Height:
Weight:
Gender:	Male Female
Marital Status:
Citizenship:
Name of School:
Years attended:
Name of University / College:
University Years attended:
Field of Study:
Camps you have attended as a staff member?:
Camps you have attended as a camper?:
Hobbies:
Do you currently have valid Lifeguarding Qualifications?:	Bronze Cross NLS Other
Expiry Date:
Do you consume alcohol?:	Yes No
Do you smoke?:	Yes No
Are you prepared to give these up?:	Yes No
Earliest day you are available to work:	12345678910111213141516171819202122232425262728293031JanFebMarAprMayJunJulAugSepOctNovDec2012
Last day you are available to work:	12345678910111213141516171819202122232425262728293031JanFebMarAprMayJunJulAugSepOctNovDec2012
Employment Experience:
Any other experience or training useful for camp?:
Describe your qualifications or experience for the position for which you are applying?:
Do you have any medical conditions?:
Do you have any Diet Restrictions?:
State briefly your ideas of the personal qualities needed to work with children?:
What do you think Children should gain from attending camp?:
What contribution can you make to the success of the camp?:
What do you hope to gain personally from working at camp?:
Describe your family, background, responsibilties at home, interests, and future career goals:
Have you applied to work anywhere else this summer?:	Yes No
If so, where?:
How did you hear about us?:
Is there anything else you would like to tell us about yourself?:
Reference 1:
Reference 2:
Reference 3:
	Sign Up Form from inTouch Broadcast