New Counsellor/Programmer Application Form

> New Counsellor/Programmer Application Form

This is the application form for any new counsellors or programmers

Contact Information

Applicant First Name: *

Last Name: *

Applicant Email: *

Suite Number:

Address: *

City: *

Province: *

Country: *

Postal Code: *

Primary Phone Number: *

eg: 6048731865

Secondary Phone Number:

eg: 6048731865

Sex: *

Female

Male

Age: *

19 or older

Chose date as of June 25, 2010

Application and Qualifications

Position Information:
Please check here for information and qualifications for each position.

Which position(s) are you applying for?: *

Aquatics Programmer - must be atleast 19 yrs old and hold current NLS (start June 9)

Outdoor Pursuits Programmer (start June 9)

Rec and Games Programmer - ropes certification required (start June 9)

Arts and Crafts Programmer (start June 11)

New Staff Counsellor (Starts June 15)

Leader in Training Program Counsellor (only at Camp Squamish, starts June 9)

Note: Multiple positions may be applied for, however, only apply for positions for which you are eligible.

Would you be willing to work at a camp other than your first choice?:

yes

How did you hear about this opportunity?:

Past staff member

Through an Easter Seals/BC Lions Event (eg 24hr relay)

BC Lions Society Website

BC Easter Seals Camps Website

Internet Posting

University/College Posting

Please specify (ie. which job site):

Please specify which where you found out about this position

Camp Questions

Please answer all questions

Please list any previous experience as a camp staff, volunteer or camper at any camp:

What do you think a "rickabamboo" is?: *

What was your favourite thing to do when you were 7 years old?: *

What do you think are 3 ideal qualities of a camp staff member?: *

Why do you think camp is the right place for you this summer?: *

What is your favourite piece of playground equipment? Why?: *

What is something you have accomplished in your life that you are very proud of?: *

One of our objectives at camp is to give campers and staff the opportunity to challenge themselves, take risks and try new things in a safe, warm and supportive environment.

Please explain how you will ensure campers meet this objective this summer: *

How will you meet this objective for yourself this summer?: *

What do you expect your favourite part of this job will be? Your least favourite part?: *

Please rank the following terms in order of importance to you: *

	Motivation	Ability to follow orders	Patience	Safety	Sense of humour	Responsibility	Creativity	Care
1 (most important)
2
3
4
5
6
7
8 (least important)

only select one number per quality

Please explain why your first choice is the most important to you: *

Camp is the place where we share our knowledge and skills. Please indicate any areas where you have experience or feel comfortable running a workshop to peers in orientation:

	Experience	Workshop	Neither
Behaviour Support
Assisted Dressing
Assisted Eating
Personal Care
Advanced First Aid
Hearing Impairments
Lifts and Transfers
Seizures
Showering Assistance
Sign Language
Speech Therapy
Music Therapy
Drama Therapy
Adventure Therapy
Visual Impairment
Wheelchair etiquette

Medical Information

Do you have any health problems that could interfere with your ability to be at camp and work directly with campers?: *

yes

If you answered yes, please explain:

As you know, Camp is a wonderful place to grow and learn. Camp is also very emotional, physical and intense. You will work long hours and be required to do a wide range of tasks.

Are there any reasons you would have difficulty performing essential elements of the camp job you are applying for?:

At camp, we often put others needs before our own. How do you plan to take care of yourself this summer?: *

References

Please submit two references. At least one must be an employment reference. Please provide us with current contact information for your references in the form of email AND phone number.

Reference 1

First Name: *

Last Name: *

Company/Organization: *

Position: *

References relationship to you: *

Phone Number: *

eg: 6048731865

Email: *

Reference 2

First Name: *

Last Name: *

Company/Organization: *

Position:

References relationship to you: *

Phone Number: *

eg: 6048731865

Email: *

Alumni Reference

Do you know any past staff members from Easter Seals Camp (Shawnigan, Squamish, or Winfield) who can give a definite statement of your character?

First Name:

Last Name:

Email:

Additional Information

Have you ever been convicted of a criminal offence which has not been pardoned?: *

yes

If you answered yes, please explain:

Please copy and paste your resume below: *

Is there any additional information that you would like to share?:

By submitting this application, I authorize investigation of all statements herein and release the camp and all others from liability in connection with this inquiry. I understand that, if employed, I will be an at will employee and that any agreement to the contrary must be in writing and signed by the coordinator of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.

Thank you very much for taking your time and care in completing this form, due to large numbers of applications, only qualified applicants will be contacted.

Please review the above application before clicking the submit button. Submitting this form will serve as your acknowledgment that the above information is correct.

If this page does not go through, please e-mail us directly at camp@lionsbc.ca

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BC Lions Society
3981 Oak Street
Vancouver, BC, Canada, V6H 4H5
info@lionsbc.ca

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New Counsellor/Programmer Application Form