First & Last Name Sex M F Age Birthdate
Home Address
City/Town Prov/State Postal/Zip CodeTelephone
e-mail address (REQUIRED TO RECEIVE A REPLY)
Cell Phone
Education: Secondary School Current Grade
Note: Reference will be emailed a web link to complete references. Email address is required.
References (outside family, preferably teacher, employer, and or athletic coach)
Name Relationship to You Telephone Email
Name Relationship to You Telephone Email
Most Recent Employment
Employer From toTelephone
Type of Work Supervisor
Which CIT Session would best fit your schedule?
Session One: July 4 - July 31 Session Two: July 31 - August 28
Would you be able to attend either session? Yes No
Please identify all extracurricular activities (athletic teams, clubs, student council, social organizations, etc.)
and your role within the activity (team captain, president, committee member,etc.).
Please identify all volunteer work (coaching, mentoring, teaching, etc.)
Please explain your personal experience as a camper (including name of camps attended) and your interest in
working within the camp community (200 words or less)
Given the program outline, what would you like to achieve by attending our CIT program? (100 words or less)
Please Check the Certificates You Have That Will Be Valid Until August 31/09
Aquatic:
Bronze Medallion Expirey Bronze Cross Expirey
N.L.S. Expirey Instructors Expirey
First Aid:
Emergency First Aid Standard First Aid Aquatic Emergency Care C.P.R. AE Defibrillation
Additional Related Certifications:
Interviews
CIT interviews are being held in several locations this winter. It is our hope that one of these times will work into your winter schedule. Dates for Southern Ontario and the Toronto area are listed below. Interviews for all other locations besides Toronto will be set up after we know the number of applicants for each area.
Please indicate your interview preferences, in order of priority... I would like an interview
If your interview is in Toronto, complete the following information, otherwise, apply and we will contact you regarding your interview date & time.
I would like my Toronto interview to be on .
My second choice would be on .
Toronto interviews will be held at the Quality Suites, Toronto Airport 262 Carlingview Dr. Hotel Phone Number is 416-674-8442.
Click Here for hotel information and location.
We will contact you with the exact time after we receive your application. Please list here any specific requests regarding interviews:
Please submit your resume to support this application. Please forward any resumes to jeff@learnhockey.com
* Applications without a valid email address will not receive a reply
