2023 (NEW) Staff Application Form

2023 *NEW* 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 2023):*
Birthday:*

MonthDay Year
Gender Identity:*

MaleFemaleNon-Binary
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 a current Police/background check?*

NoYes
*All Staff are required to provide a valid Police/background check every 3 years.
What position and/or activity would you like to be considered for?
First choice:*
Second choice:*
Third choice:
What duration of employment are you interested in?
Please choose from the following sessions (you may choose more than one):*
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?*

YesNoUndecided
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:

CPRFirst AidBronze MedallionBronze CrossNational Lifeguard (NL)Lifesaving Society Swim Instructor (LSSI)Lifesaving Society Instructor (LSI)Lifesaving Society ExaminerORCANCCP
* 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
Swimming
Tennis
Trapeze
Wakeboarding
Water Skiing

Creative/Artistic

	1	2	3
Arts & Crafts
Cooking
Costume Making
Dance
Painting
Photography
Pottery
Technical (AV)
Theatre (Directing)
Theatre (Set Design)
Video

Outdoor Pursuits/Environmental

	1	2	3
Archery
Canoe Tripping
Canoeing/Kayaking
Fishing
Mountain Biking
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?

NoYes
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?*

NoYes
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?*

NoYes
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?*

NoYes
If yes, please explain:*
Signature*

Clear
Should be Empty:

2023 *NEW* STAFF APPLICATION FORM

General Information

Education/Occupation and Training

2023 NEW STAFF APPLICATION FORM