Relief RN Position

> Relief RN Position

This is the application form for the Relief RN position at camp.

Contact Information

First Name: *

Last Name: *

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 19, 2009

Application and Qualifications

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

Relief RN or RPN

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

yes

maybe

Please indicate any qualifications you may have:

Check only if you have current certification

How did you hear about this opportunity?:

Have been a past staff member

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

Camp Questions

Please answer all questions

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

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

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

What is your current employment situation and how would camp fit with this?: *

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?:

References

We will be checking your references. Please provide us with current contact information in the form of email AND phone number.

Reference 1

Reference First Name: *

Last Name: *

Company/Organization: *

Position: *

References relationship to you: *

Phone Number: *

eg: 6048731865

Reference Email: *

Reference 2

Reference First Name: *

Last Name: *

Company/Organization: *

Position:

References relationship to you: *

Phone Number: *

eg: 6048731865

Reference 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?

Alumni First Name:

Last Name:

Alumni 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?:

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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info@lionsbc.ca

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