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Please fill out this form if you have worked at Pearce Williams in a previous year. Fill in the form if you are interested in returning for next summer.

Returning Staff Application Form

Last Name: First Name:
PWCC Nickname:


Last Position at Camp:
Year:

Date of birth (Day/Month/Year)

Permanent Home Address:

Address: City/Town:
Province: Postal Code:
Telephone Cell Phone

Best times/days to reach you


Email Address:

University/College Address (if away at school)

Address: City/Town:
Prov:
Postal Code:
Telephone
Best times/days to reach you
Dates at University/College Address:

Where do you think your skills and abilities would best be used for 2007? Please fill in the positions below. Please note that these positions are not guaranteed and we will place staff into the positions that best help the camp serve the campers.

1)
2)
3)


Name of High School:
High School Grade Completed in 2007:
University/College Name:
University/College Year Completed in 2007:
Major/Specialization/Course:

To assist in maintaining our records, please indicate your camping experience in the following categories:

# of years as a camper at PWCC
# of years as a camper at other camps
# of years of staff at PWCC # of years as staff at other camps
CIT training at PWCC?
CIT at another camp? What camp?

Why do you want to be a part of Pearce Williams Christian Centre for the summer of 2007?
Which of your personal skills do you feel you need to improve upon to make this upcoming summer better than the last summer?
What leads you to believe that camp is the best place for you to spend your summer?


Qualifications & Certifications:


Please list only current certifications and include copies (via email) with your application.

Area Awards / Experience / Qualifications
Swimming (NLS)
Archery
Canoeing
Music-piano; guitar; singsong

Other qualifications: First Aid C.P.R.Year of Certification

Activities at PWCC in which you could provide leadership (please list at least five):
Please share one idea for a "new" program for PWCC that might work for 2007.

Are you committed to upholding the policies of Pearce Williams Christian Centre including Zero Tolerance for Alcohol, Drugs and Any Tobacco products?
Have you ever been convicted of a criminal offense for which a pardon has not been granted?
Are you available for the entire camping season (June 24 - August 25, 2007)?

If No, what weeks would you be available?




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