2021 Staff Application Form

General Information

Name: *

First Name Last Name

E-mail Address: *

Mailing Address: *

Street

Street Address Line 2

City State/Province

Postal/Zip Code Country

Cell Phone Number: *

Age (as of July 2021): *

Birthday: *

Month Day Year

Gender Identity: *

Male Female

Social Insurance Number:

If in progress, use TBA above

Ontario Health Card #:

Please upload a photo of yourself: *

pdf, rtf, jpg, jpeg, tif, png, gif - Maximum file size: 900kb

Driver's License Class:

Do you have any special dietary needs? (i.e. gluten-free, kosher, food allergies, etc.) *

No Yes

If yes, please explain:

Do you smoke? *

No Yes

Do you have a current Police/background check? *

No Yes

*All Staff are required to provide a valid Police/background check every 3 years.

What position(s) would you like to be considered for?

First choice: *

Second choice: *

Third choice:

What dates are you available and interested in working at camp between May 1-Sept 5? *

Education/Occupation and Training

Occupation (includes Student): *

Student

Name of High School:

Grade:

If applicable

Name of University/College:

Year of Graduation:

Certificate, Diploma or Degree Pursuing:

Are you planning to return to school following the summer?

Yes No Undecided

Camp Experience (if any)

Name of Camp 1 (as a Camper):

Location:

Last Year Attended:

Name of Camp 2 (as a Camper):

Location:

Last Year Attended:

Name of Camp 1 (as a Staff Member):

Location:

Last Year Attended:

Name of Camp 2 (as a Staff Member):

Location:

Last Year Attended:

What qualifications do you currently hold?

Check all qualifications you have that are current:

* Must be valid throughout your employment and you must submit a copy of your certification(s) to our office.

Camp Activity Skills

Please rate your skill level in the following areas:

1 - Very skilled (comfortable teaching this activity)
2 - Somewhat skilled (comfortable assisting to teach this activity)
3 - Not skilled
Leave blank if not applicable

Athletic/Sports

1

2

3

Baseball

Basketball

Football

Hockey

Sailing

Soccer

Tennis

Trapeze

Water Skiing

Creative/Artistic

1

2

3

Arts & Crafts

Cooking

Costume Making

Dance

Painting

Photography

Pottery

Technical (AV)

Theatre Props/Sets

Video

Outdoor Pursuits/Environmental

1

2

3

Archery

Canoe Tripping

Canoeing/Kayaking

Fishing

Mountain Biking

Nature

Rock Climbing

Ropes/Belaying

Woodworking

Support Staff - Dining Hall

Experience?

Dishwashing

Serving

Support Staff - Housekeeping

Experience?

Cleaning

Laundry

Support Staff - Kitchen

Experience?

Baking

Deep Frying

Food Prep

Sous Chef

Support Staff - Maintenance

Experience?

Carpentry

Electrical

Landscaping

Plumbing

Support Staff - Nursing

Experience?

Nurse

Do you have any other teachable skills not listed above?

No Yes

If yes, please explain:

References

Give the names of three persons who are former employers or some other person who has had an opportunity to observe you in a working situation (relatives and friends are not acceptable references) . If you have been staff at another camp, please include the name of the Director. We will be calling, as well as e-mailing, your references listed - please notify them that they will be contacted by the camp office.

Reference #1 - Full Name: *

Relationship to You: *

Phone Number: *

E-mail Address: *

Reference #2 - Full Name:

Relationship to You:

Phone Number:

E-mail Address:

Reference #3 - Full Name:

Relationship to You:

Phone Number:

E-mail Address:

Additional Information

Tell us briefly of any work experiences or training, which would be helpful in your job at camp:

Explain briefly why you would like to work at Camp Wahanowin:

How did you hear about Camp Wahanowin?:

Have you used or gone by any other name other than the one you identified on this application? *

No

Do you have a criminal record or have ever been convicted of a crime, or have any charges pending? *

No Yes

If yes, please explain: *

Have you ever been disciplined or sanctioned by a camp body or by an independent body (e.g. sport league, etc) or dismissed from a prior camp or volunteer position? *

No Yes

If yes, please explain: *

Have you ever been subject to a lawsuit (i.e. finding, judgement, ruling, out of court, settlement, etc.) relevant to all forms of assault (physical or psychological), fraud, child pornography, sexual offences, harassment or trafficking of illegal drugs? *

No Yes

If yes, please explain: *

Signature *

Clear

2021 STAFF APPLICATION FORM

General Information

Education/Occupation and Training