First & Last Name Gender M F Age Birthdate
Home Address
City/Town Prov/State Postal/Zip CodeTelephone
Current Address (if different from above)
City/Town Prov/State Postal/Zip CodeTelephone
E-mail address (REQUIRED TO RECEIVE REPLY)
Position(s) Applying For (check all that apply):
Camp Coordinator for:
Camp Counsellor
Hockey Counsellor
Section Head
Activity Instructor for
Program Head for
Day Camp Counsellor
Day Camp Swim Instructor
Camp Photographer
Camper Care Assistant
Education: Secondary School Current Grade
Post Secondary Education Current Year
Degree Program
References (outside family, preferably teacher and athletic coach)
1) Name Home Telephone Work Telephone
Relationship to You Email
2) Name Home Telephone Work Telephone
Relationship to You Email
Note: References will be contacted via email to complete an online survey. Email addresses are required.
Most Recent Employment
Employer From toTelephone
Type of Work Supervisor
Please explain your personal experience as a camper (including name of camps attended).
What did you learn from this experience?
Please explain your camp experience as a staff member (including name of camps worked)
What did you learn from this experience?
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 Check the Certificates You Have That Will Be Valid Until August 31/08.
Aquatic:
Bronze Medallion Bronze Cross N.L.S. Instructors Other
First Aid:
Emergency First Aid Standard First Aid Aquatic Emergency Care C.P.R. AE Defibrillation
Other Related Certifications: Other
What experience do you have applying for your preferred position? Activities we offer are Water Skiing, Boardsailing,
Snorkelling, Kayaking, Mountain Biking, Wall Climbing, Outdoor Adventure and Archery.
Why do you want to work at a residential children's camp? Why should we consider you for employment?
Interviews
Staff 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. If you live in Southern Ontario, and go to school elsewhere,
please try to make the December interview dates. 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:
What dates are you available to work? From to
Are you interested in employment before or after the summer camp session (May, June or the last week of August?) Yes
All successful staff candidates will be required to submit a criminal background report with their contract, as well as a photocopy of all valid certification.
Are you willing to have a police check done and sent to us in the event that you are hired? Yes No
Are you willing to give us copies of all valid certificates? Yes No
We encourage you to submit a resume to support this application,
Applicants for Counsellor, Hockey Counsellor & Section Head send your resume to mike@learnhockey.com
Applicants for Activity Instructor(not Waterskiing), Program Head & Day Camp send your resume to cathie@learnhockey.com
Applicants for Co-ordinator, Waterski Instructor, Waterski Head & Photographer send your resume to kevin@learnhockey.com
