Staff Application Form - We want you to join us at Pearce Williams!

Staff Application Form

Please take the time to fill out the application as complete as you can.
You must fill in the references section for the application to be processed.


Last Name:	First Name:
Male Female

Address:	City/Town:

Province:	Postal Code:

Telephone	Best times/days to reach you

Cell Phone	Best times/days to reach you


School/Temporary Address:	City/Town:

Prov/State:	Zip/Postal Code:

Telephone	Best times/days to reach you
What dates can you be reached at this temporary address?
Email address:

Are you legally eligible to work in Canada (ie. are a Canadian citizen, or have a work permit)?	Yes No
Our campers range in age from 7 years to 14 years. Therefore, it is important for us to hire staff at the appropriate age. Will you be 16 years old or more by July 1st of the camping season for which you are applying?	Yes No

While it is not required at this time, it would be helpful for us to know your date of birth.
What position(s) are you applying for?
Are you available for the entire camp season (June 25 - Aug 26, 2006) Please note, preference is given to those who are available for the entire camping season, but we are willing to work with those who can commit to two or more weeks at camp this summer.			Yes No If No, what dates?

Education

Are you currently attending:
	High School	What grade?
	University/College	What Year?
		What is your major?
		Name of School

Experience

List all jobs you have had, volunteer or paid and please note any positions working with children.

Organization

Positions and Responsibilities

Dates Worked

Are you currently working? Yes No Please provide details:

Employer: Position: Dates:

Phone #

May we contact this person for a reference check if required?: Yes No

If you weren't working last summer, please tell us what you did:

Camping Experience

Have you ever attended Pearce Williams Christian Centre? If so, when?

List camps you have attended as a camper or staff member.

Camp	Camper or Staff (List position)	Years Attended

Qualifications and Teaching Experience

Please outline your qualifications and teaching experience in all areas.

Please put a check mark beside only those of the following activities / areas in which you feel you are the strongest.
Area	Awards / Experience / Qualifications
Archery
Art and Crafts
Canoeing
Drama
Initiatives, Low Ropes etc.
Ecology / Nature
Christian Education
Music-piano; guitar; singsong
Swimming (NLS, Bronze Cross?)
Juggling, Ballooning etc.
Writing, Poetry
Game Leading
Fine Arts - pottery, drawing etc.

Other qualifications:

First Aid

C.P.R.

What do you think you can contribute to Pearce Williams Christian Centre?

Please tell us one memorable thing about yourself that will help us get to know you better.

How did you find out about Pearce Williams Christian Centre?

Is there anything else you would like to tell us about yourself?

References

Please give the names and phone numbers, no relatives please.

Reference #1

First Name:	Last Name:

Relationship (teacher, employer,coach etc):
Phone Number:
EmailAddress:
Address:
City:

Reference #2

First Name:	Last Name:

Relationship (teacher, employer,coach etc):
Phone Number:
EmailAddress:
Address:
City: