Your name: (required)
E-mail address: (required)
Telephone number:
(including area code)
Permanent
Street address:
City:
Province/State:
Country:
Postal Code/Zip Code:
My Previous Position Was:
For which position are you applying?
Select one
Counsellor
Special Needs Counsellor
Program Staff
Lifeguard
Aquatic Staff
Nurse
Maintenance Staff
Other
Other: (please specify)
Why do you feel you are qualified for this position?
Education (last year completed)
High School:
Grade:
College:
Year:
University:
Year:
Other Education, Certificates or Qualifications:
Have you ever been convicted of a criminal offense for which you did not receive a pardon?
Yes
No
Briefly describe experiences that you have had which will help at camp (i.e. youth group, volunteer opportunities, school involvement, etc.):
Why would you like to return to Glenbrook Day Camp this summer?
What is a challenge you faced last summer? What did you learn from it?
What is your personal theme song?
References
Please indicate three (3) people, other than family members , who can act as references for you. These people should have knowledge of your character, experience and abilities.
1) Reference's Name:
Telephone number: (including area code)
Relationship:
2) Reference's Name:
Telephone number: (including area code)
Relationship:
3) Reference's Name:
Telephone number: (including area code)
Relationship:
Agreement
For your job re-application to be accepted, it is required you read and accept our Staff Conduct Agreement and Mission Statement. Please click here to read it.
I have read, understood and support Glenbrook Day Camp's Staff Conduct Agreement and Mission Statement:
Yes
No
By submitting this online job re-application form, I authorize Glenbrook Day Camp to contact anyone I have listed as a reference and to discuss all relative issues concerning my re-application. I also consent to information being released based on my performance in relation to any future employment references.
A requirement upon a position being offered will be for the employee to obtain a criminal background check from their local police department.
I testify all information given on this re-application is accurate and true.
If you are under 18 years old: You assure us that before submitting this job re-application, you have discussed this with your parent or guardian and they also agree with all the terms of this submission and certify that to the best of their knowledge, the information you are providing Glenbrook Day Camp is true and accurate.
Parent/Guardian's Name:
Please verify and review your information to ensure accuracy.
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