Summer Employment Application Form  
 
     

Personal Information
First Name: Last Name:
Email:      
Permanent Cell:   Permanent Phone:
Permanent Address:   Permanent City:
Permanent State/Prov:   Permanent Zip/Postal Code:
 
         
Temporary Address:   Temporary City:
Temporary State/Prov:   Temporary Zip/Postal Code:
Temporary Phone:    Until what date?
 
Birth Month:   Birth Day:
Birth Year:   Age as of July/08
Social Security(US) or Social Insurance Number(CDN)      
Drivers License State/Prov:   License Number:
 
 

Summer Camp Work Experience
Camp:   Director: 
Phone Number:    Year Worked: 
Position:       
Please feel free to include additional comments outlining your responsibilities, and the age groups you have worked with.  
 
Camp:   Director: 
Phone Number:    Year Worked: 
Position:       
Please feel free to include additional comments outlining your responsibilities, and the age groups you have worked with.  
 
Camp:   Director: 
Phone Number:    Year Worked: 
Position:       
Please feel free to include additional comments outlining your responsibilities, and the age groups you have worked with.  
 
Employment (other than camp) History
1.Name of Firm:     Dates employed:  -
Address:    Position/Responsibilities: 
Immediate Supervisor:    Immediate Supervisor Phone:  
Reason for leaving:        
 
2.Name of Firm:     Dates employed:  -
Address:    Position/Responsibilities: 
Immediate Supervisor:    Immediate Supervisor Phone::  
Reason for leaving:        
 
3.Name of Firm:     Dates employed:  -
Address:    Position/Responsibilities: 
Immediate Supervisor:    Immediate Supervisor Phone::  
Reason for leaving:        

Qualifications

Applicants who are subsequently hired will be required to submit photocopies of various certifications that they hold and that are valid through the end of their specific trip. Please indicate with check marks the courses that you have successfully completed. If you have not completed the necessary courses, you may do so upon being hired.

Note: If you plan on applying for a lifeguard position, all certificates MUST be up to date and valid until August 2008.
Note: ALL staff MUST have first aid and CPR certification valid until August 2008. Wilderness 1st Aid is optional.
For Outdoor Adventure, Sports and Community Service Applicants: All applicants to these divisions may require additional licensing to operate the vehicles on our programs. Licensing will be discussed with you if you should be given an interview.

Swimming: 
WSI:
  Expiry Date:
 
Instructor's:
  Expiry Date: 
 
National Lifeguard:
  Expiry Date:  
First Aid: 
Basic First Aid:
  Expiry Date:
 
CPR:
  Expiry Date: 
 
Wilderness First Aid:
  Expiry Date:  
Driving: 
Driver's License:
  15 Passenger Van License:  
Languages:  Do you speak:
French?  Yes   no Are you fluent? Yes   no
Italian?   Yes   no Are you fluent? Yes   no
Spanish?  Yes   no Are you fluent? Yes   no

Personal Interests

Please indicate to us your preferences for placement for the summer of 2008.
I would like to be considered for the position of:
(you may check more than one): 		   Tour Director:  
  Food Director:  
      Tour Leader:  
      Tour Leader and Lifeguard: Note: all certifications must be valid through August 2008
         
on the following type of tour (you may check more than one):    Active Teen Tour:  
  Multi-Sport Adventure:  
      Sports & Touring Tour:  
      as a Golf Specialist:  
      or Ski/Snowboard Specialist:  
      Community Service Program:  
      Language Programs (Costa Rica and/or Spain):  
      Language Programs (France):  
      Any of the Above:  

Education

Please provide information relative to your most recent academic status:
Undergraduate School Attended:     Major:  
    Year Completed:  
Graduate School Attended:     Degree Earned or Year Completed:  
Expertise
Are you currently a teacher/educator:    Yes   no  
Please note that applicants need not possess expertise in all of the skills listed below, however this information does assist us with tour placement.

Please rate your expertise from 1(inexperienced) to 5(highly experienced) and place a check if you have ever coached and or competed in any of the following activities: 
Mountain Biking:     Coached:
Competed at:
Camping:     Coached:
N/A
Hiking:     Coached:
N/A
Photography:     Coached:
N/A
Rock Climbing:     Coached:
Competed at:
Whitewater Rafting:     Coached:
Competed at:
Kayaking:     Coached:
Competed at:
Skiing (snow):     Coached:
Competed at:
Snowboarding:     Coached:
Competed at:
Landsports (general):     Coached:
Competed at:
Golf:     Coached:
Competed at:
Surfing:     Coached:
Competed at:
Have you ever been a participant of a travel program:   Yes   no  
If yes, where did you travel? :        
Have you had any experience videotaping or filming:   Yes   no  
If yes, please give more detail:        
Please Answer the Following Questions
Do you smoke cigarettes?   Yes   no  
As the trips require physical participation as well as a degree of physical work, do you have any physical limitations that would restrict you from performing your job?    Yes   no  
  If so, please explain:  
Have you been found guilty of a criminal offense (this includes abuse and driving offenses and any youth offender conviction, for which you may or may not have received a pardon)?   Yes   no  
  If so, please explain:  
Are you available to attend our Pre-Camp Training session tentatively scheduled from Friday June 1 - Sunday June 3, 2008?   Yes   no  
Tour Directors only: Are you also available for our Tour Director seminar on the weekend of
May 4 - May 6, 2008? 		  Yes   no  
How did you hear about Westcoast Connection?      
Additional character References
(excluding friends or personal relatives)
Name and Title:     Phone Number: 
Address:       
Name and Title:     Phone Number: 
Address:       
Name and Title:     Phone Number: 
Address:       

All WCC employees will be required to submit a recent medical history in the spring of 2008. Westcoast Connection thanks you for taking the time to fill out this application form. Please attach a reference from a previous employer to this application. If you do not have a valid reference at this time, please ensure that you bring your reference with you if you should be chosen for an interview.

By submitting below, I confirm that the information contained within this application is true and accurate. Further, I authorize Westcoast Connection to obtain information about any of the following: my employment history, criminal history, driving records, and/or educational records and release all concerned from any claims arising out of or relating to any such investigation.