Pleasant Bay Camp :: New Staff Application

General Information

Please complete this form to apply for a summer staff position. All applications are due by MARCH 1st. Thank you for your willingness to serve at Pleasant Bay Camp! We know first hand that it's...

An Experience to Remember!

Information with an asterisk is required to submit your application online. Due to government policies your Social Insurance Number is required to recieve pay and is therefore a requirement of this application.

As we work with children, a police check is also required to work at Pleasant Bay Camp. Most police stations have a fee attached with this service but it is often free for volunteers. You may send a photocopy of a police check that you have done in the last three years with your church or another organization.

Please complete a staff health form from the side menu and ask two people to complete reference forms for you on our website. They can simply click on the side menu and submit the form on line. If you have worked with children before, we require that one of the references be from that employer or supervisor.

*	First Name:
*	Last Name:
*	Address:
*	City:
*	State/Province:
*	Zip/Postal Code:
*	Email Address:
*	Phone:
	Birthday:
*	Social Insurance Number (required for payment)
*	Highest Level of Education Completed
*	When?
*	Home Church and Denomination
*	Church Address and Phone Number
*	Name of Pastor
*	Position Applied For	LIT~Leader In Training Director LIT Program (Age 15+) Tuck Shop Coordinator Waterfront Director Head Cook Kitchen Staff Dining Room Staff Senior Counsellor (18 yrs) Juniour Counselor (16+) Program Director Assistant Program Director Lifeguard Maintenance
*	Please check skill areas that you are able to teach.	Archery Basketball Canoeing Crafts Frisbee Golf Kayaking Low Ropes Out-Tripping Sailing Swimming Trail Biking Trampoline Volleyball Wakeboarding Wall Climbing Water Skiing
* Do you have any first aid, CPR or lifeguarding qualifications? yes no
	Please list all relevant qualifications and expiry dates here.
*	Please answer the following questions in paragraph format. Who is Jesus Christ to you?
*	Who is or has been the most influential person in your life? Why?
*	Describe your Church involvement over the past two years.
*	Comment on your own personal strengths and weaknesses.
*	Summarize why you desire to serve at Pleasant Bay Camp.
	Please include highlights from former camp experiences and contact information of the director if you have served at another camp. If you have not worked at a camp, but have worked with children, please give the contact info of your employer or supervisor.
	A police check is required. Please see note above and answer the following.
*	1. Have you been convicted of a criminal offence for which you have not been pardoned?	yes no decline to answer
*	2. Do you have a criminal record involving physical or sexual abuse of children?	yes no decline to answer
*	3. Have you ever been investigated by any Children's Aid society regarding child abuse?	yes no decline to answer
*	By submitting this application you authorize PBC to investigate all statements contained in this application and understand that misrepresentation is or omission of facts is cause for dismissal.
	Is there any week that you are not available for work during the summer of 2011?	July 8 July 15 July 22 July 29 August 5 August 12 August 19
	Please list any other dates (that are not a full week) that you are unavailable during the summer of 2011.
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