The Taylor Statten Camps

Application Form

Please fill out this form completely. Incomplete forms will not be processed. We also require you to have two references fill out our online reference form. We are looking for references from teachers, coaches, employers etc. The form can be filled out online or printed and sent in to the camp office.


Last Name:	First Name:
Male Female
Address:	City/Town:

Province/State:	Zip/Postal Code:

Telephone	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?

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 16 years. Therefore, it is important for us to hire staff at the appropriate age. Will you be 17 years old or more by July 1st of the camping season for which you are applying?	Yes No

What camp are you applying to work at?	Ahmek (boys)	Wapomeo (girls)	Either
While it is not required at this time, it would be helpful for us to know your date of birth (dd/mm/yyyy).
What position(s) are you applying for?
Are you available for the entire camp season (June 222nd - Aug 21st, 2008)? Please note, preference is given to those who are available for the entire camping season.		Yes No If No, what dates?

Education

Are you currently attending:
	High School	What grade?
	University/College	What Year? What 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:
Please list any additional organizations, recreational or extra-curricular activities you are affiliated with, such as Outdoors Club, Student Council, etc. Please note those in which you have held a position of responsibility.

Camping Experience

Have you ever attended the Taylor Statten Camps? 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 put a check mark beside only those of the following activities / areas in which you feel you are the strongest. Please outline your qualifications and teaching experience in all areas.
Area	Awards / Experience / Qualifications
Archery
Art and Crafts
Canoeing
Canoe Tripping
Drama
Ecology / Nature
Horseback Riding (english)
Music-piano; guitar; singsong
Pottery
Sailing
Swimming
Tennis
Weaving
Windsurfing

Other qualifications:

First Aid

C.P.R.

Email address:

What do you think you can contribute to the Taylor Statten Camps?

How did you find out about Taylor Statten Camps?

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