Which camp are you applying for:
 Volleyball All-Sport

Position(s) for which you are applying:

Name:

Gender:

Permanent Address:

Street:

Apt:

City:

Province:

Postal Code:

Phone Number 1:

Email Address:

Birthdate:

Club Affiliation:

Please be prepared to provide Social Insurance & Health Card numbers at the interview.

Educational Background:

High School:

College:

University:

High School Name:

HighSchoolCity:

I was here from:

I was here until:

College or University Name::

City:

Province/State:

Major Subjects:

Degree/Major:

SECTION 4

Camp Background:

Years as a camper:

I will be attending full-time school/College/University next year:

Did you attend a camp CIT/LIT training program?:

If yes, which camp(s)?

Camp Staff Background

(if this does not apply, skip to Section 5)

Camp:

Dates (years attended):

Positions:

Director:

Phone:

Other Employment:

Employer 1:

Worked here from:

Worked here until:

Nature of work:

Phone:

Supervisor:

Reason for Leaving:

Employer 2:

Worked here from:

Worked here until:

Nature of work:

Phone:

Supervisor:

Reason for Leaving:

We require at least 3 references. The Camp Director(s) and employers listed above will be contacted and may be used as reference. If you are providing other references they should not be relatives and should have knowledge of your character, experience and ability.

Reference 1:

Name:

Phone:

City:

Prov:

What type of reference will the above provide (eg. Camp Director, employer, teacher, clergy etc.):

Reference 2:

Name:

Phone:

City:

Prov:

What type of reference will the above provide (eg. Camp Director, employer, teacher, clergy etc.):

Reference 3:

Name:

Phone:

City:

Prov:

What type of reference will the above provide (eg. Camp Director, employer, teacher, clergy etc.):

SECTION 6

Other Certifications:

NLS:

Expiry:

First Aid:

Issuing Agency:

Expiry:

CPR Basic:

Issuing Agency:

Expiry:

Special Interests:

What contributions do you think you can make at camp?:

What contributions do you think a well run camp can make to a child?:

Write a brief note explaining what camp, school or other training and what experiences you have had that will allow you to be successful at the job for which you are applying:

Other comments:

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