Summer Camp Application- Returning Staff

CARLETON UNIVERSITY SPORTS CAMP
SUMMER 2015 – RETURNING STAFF APPLICATION
DEPARTMENT OF PHYSICAL RECREATION AND ATHLETICS
Submitting Applications: In Person at Welcome Centre OR by Fax – 613 520 4466
DEADLINE TO APPLY: MARCH 23RD, 2015 BY 4:00 P.M.
_____________________________________________________________________________
NAME:_____________________________________________________
POSITION LAST SUMMER: ___________________________
POSITION APPLYING FOR THIS SUMMER: ___________________________
ARE YOU INTERESTED IN WORKING REC DAYS IN MAY/JUNE (please circle): Y / N
PHONE NUMBER: (H) _________________________ (C) ___________________________
PHONE NUMBER BEFORE MAY 1ST (if different from above): ____________________________
E-MAIL: _____________________________________ DATE OF BIRTH: ________________________
AGE: _____
EMERGENCY CONTACT (Name & Number): __________________________________________
SCHOOL ATTENDING: _________________________________
GRADE / YEAR: __________
PROGRAM (FOR UNIVERSITY/COLLEGE): ______________________________________________
WHAT IS YOUR FAVOURITE THING ABOUT WORKING WITH US:
FROM YOUR EXPERIENCE, WHAT IS THE BEST THING AND WHAT IS THE HARDEST THING ABOUT
WORKING WITH CHILDREN?
IN YOUR OPINION, WHAT CONTRIBUTES TO A GOOD WORK ENVIRONMENT?
PLEASE SPECIFY SOMETHING YOU DID LAST SUMMER THAT MADE THE EXPERIENCE FOR OUR
CAMPERS BETTER:
TELL US SOMETHING YOU WANT TO CONTRIBUTE/CHANGE THIS SUMMER:
FIRST AID:
YES / NO
EMERGENCY / STANDARD
CPR:
YES / NO
LEVEL:
POLICE RECORDS CHECK:
YES/NO
ISSUED:
A/B/C
ISSUED:
(if yes, list date police check issued: ________________)
CHECK () THE AGE GROUP YOU FEEL MOST COMFORTABLE WORKING WITH:
4-6 ( )
7-8 ( )
9-11 ( )
12-14 ( )
14-16 ( )
VACATION REQUESTS:
OTHER SPECIAL REQUESTS:
IF APPLYING FOR SENIOR STAFF FILL OUT THE SECTION BELOW
WHAT SENIOR STAFF POSITION ARE YOU INTERESTED IN APPLYING FOR AND WHY?
DESCRIBE A TIME WHERE YOU WENT ABOVE AND BEYOND YOUR JOB DESCRIPTION AT CAMP:
WHAT CAMP EXPERIENCES HAVE YOU HAD AT CAMP THAT WOULD PREPARE YOU FOR A SENIOR
STAFF POSITION?