Personal Information
Note:Please be aware that this page may time-out due to inactivity and it is recommended that you save your detailed responses in a word processing document before submitting this form.
 First Name *
 Last Name *
 Email *
 Birthday (MM/DD/YYYY) *
 Home Address
 Address *
 City *
 Province *
 Postal Code *
 Phone Number (Prefer Cell Number)*
 Can we text you at this number?
 Current School *
 Current Grade/Year *
 We are interested in getting to know you. Please describe any volunteer, extracurrcicular and leadership experience you have had in the past year.
 Camp Experience
 Do you have any experience attending camp as a camper, staff or leader in training? Please describe your role. What was your favorite part of that experience? If you have never been to camp before, please describe what makes you want to apply.
Note:Please indicate 2 people, other than friends or relatives, who can act as references for you. Preferably, one of these references should be school related (advisor, guidance counselor, teacher, coach, etc.) and one should be a previous employer. These people should have knowledge of your character, experience and abilities.
 Reference 1
 Name *
 Organization *
 Email *
 Title *
 Phone *
 Length of Relationship *
 Relationship *
 Reference 2
 Name *
 Organization *
 Email *
 Title *
 Phone *
 Length of Relationship *
 Relationship *
 Current Qualifications (please check all that apply)
Bronze Cross
National Lifeguard Service (NLS)
Standard First Aid
CPR Basic Rescuer
Red Cross Instructors
Lifesaving Instructors
Coaching Level 1 or other
Ropes Course
 Preferred Role
Working closley with children as a cabin counsellor
Teaching children swimming to all age groups
Teaching other activities to all age groups. (i.e. skateboarding, pottery, cooking, nature, music, tennis, etc...)
 Why do you feel you are best suited to do the job you selected? If you selected counsellor, what age range do you envision yourself working with?*
 Why do you want to work at Adventure Valley? *
 What experiences have you had working with children? *
 Explain a time when you have gone above and beyond the call of duty? *
 Length of Contract
  Are you available, Monday to Friday from July 27 to September 4, 2020?
 Are you intersted in working with children with special needs? YES NO

 Have you ever been convicted of a criminal offense for which a pardon has not been granted? YES NO

List your availabilites during the week and upcoming school vacations. To help book possible interview times.
 How did you hear about Adventure Valley? If a friend told you about us please list that friend.
 By submitting this application
  1. I certify that all information provided is true and correct.
  2. I authorize and provide my consent to Adventure Valley to investigate and obtain information regarding all statements/information contained herein, and/or to check into my background by any means deemed necessary including, but not limited to requesting or receiving any information and/or references from any persons, schools, organizations or previous employers.
  3. I understand and agree that Adventure Valley, at their discretion, could request that I provide a vulnerable sector screening and/or criminal reference check.
  4. I release Adventure Valley from any and all liability and/or damages resulting from the information sought or obtained by Adventure Valley in the course of considering this application.
Any false statements/misrepresentation/omission of facts made on this application form may result in rejection of my application or immediate dismissal if hired.

Please enter 3m8TR into the text box. *