First & Last Name Gender M F Age Birthdate (m/d/yr)
Home Address
City/Town Prov/State Postal/Zip CodeTelephone
Current Address (if different from above)
City/Town Prov/State Postal/Zip CodeTelephone
Cell Number 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 31/10.
Aquatic:
Bronze Medallion Expiry Date (m/yr)
Bronze Cross Expiry Date (m/yr)
N.L.S. Expiry Date (m/yr)
Instructors Expiry Date (m/yr)
Other Expiry Date (m/yr)
First Aid:
Emergency First Aid Expiry Date (m/yr)
Standard First Aid Expiry Date (m/yr)
Aquatic Emergency Care Expiry Date (m/yr)
C.P.R. Expiry Date (m/yr)
AE Defibrillation Expiry Date (m/yr)
Other Related Certifications:
Expiry Date (m/yr)
Expiry Date (m/yr)
Other Expiry Date (m/yr)
What experience do you have applying for your preferred position? Activities we offer are Water Skiing, Boardsailing,
Snorkelling, Kayaking, Sailing, 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:
When are you available to work? All Spring/Summer Summer July Only August Only
Are you interested in working during our Ringette week (week 9)? 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
Please submit your resume to support this application. All resumes should be forwarded to kevin@learnhockey.com
