Return RN Application

> Return RN Application

This is the application form for RN's who are returning to the program (if you previously filled a different position at camp, this is the form for you too!)

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

Application and Qualifications

Position Information:
Please check here for information and qualifications for positions.

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

Camp Nurse: Registered Nurse or Registered Psychiatric Nurse (start June 9)

What is your previous Easter Seals Camp experience?: *

Please include years worked, camp location and position

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

Camp Questions

Please answer all questions

How do you feel nursing at camp is different than other areas of nursing you’ve worked in? How is it similar?: *

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

What do you think the word “Rickabamboo” means?: *

What would be your recipe for creating a community that embraces the beauty, diversity of self, others and the environment?: *

Please list all other nursing related practicum’s/jobs up to this point: *

What is your favourite piece of playground equipment?: *

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?: *

What is your favourite part about camp? What are you least looking forward to?: *

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

	Responsibility	Creativity	Patience	Motivation	Sense of humour	Care	Ability to follow orders	Safety
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?:

How do you plan to take care of yourself this summer? What kind of support will you require from others?: *

References

Each year we need to do ONE current reference check for all Return Staff (someone from outside Easter Seals camps)

First Name: *

Last Name: *

Company/Organization: *

Position: *

References relationship to you: *

Phone Number: *

eg: 6048731865

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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Math Question: * 6 + 6 =

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

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