Applicant's Name *
Applicant's Name
First Name
Last Name
Birthdate *
Birthdate
MM
DD
YYYY
Gender *
Male
Female
Age as of Dec. 31, 2015 *
Social Insurance #
Email Address *
Mailing Address *
Mailing Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone *
Home Phone
(###)
###
####
Cell Phone *
Cell Phone
(###)
###
####
Please give a brief summary of your work experience in the last 2 years (where you worked and your role in that job). *
Have you done any post-secondary schooling? If so when and where? *
Have you participated in any developmental programs (SOAR, YWAM, TREK, etc.)? If so, when and where? *
Applicant's Name *
Applicant's Name
First Name
Last Name
Personal Health # *
Family Doctor *
Clinic *
Doctor's Phone *
Doctor's Phone
(###)
###
####
Next of Kin *
Next of Kin
First Name
Last Name
Next of Kin Address *
Next of Kin Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Next of Kin Home Phone *
Next of Kin Home Phone
(###)
###
####
Next of Kin Cell Phone
Next of Kin Cell Phone
(###)
###
####
Next of Kin Work Phone
Next of Kin Work Phone
(###)
###
####
Emergency Contact *
Emergency Contact
This should be someone different than the person named next of kin.
First Name
Last Name
Relationship to the Applicant *
Emergency Contact Home Phone *
Emergency Contact Home Phone
(###)
###
####
Emergency Contact Cell Phone
Emergency Contact Cell Phone
(###)
###
####
Emergency Contact Work Phone
Emergency Contact Work Phone
(###)
###
####
If you answered 'other' to the question above, please explain.
If you answered 'other' to the question above, please explain.
If you answered 'yes' to the question above, please explain.
If you checked off an allergy in the question above, or if you allergy was not listed, please explain what you are allergic to and the severity of the reaction.
If you answered 'yes' to the question above, please explain.
Signature *
Signature
Parent/guardian if applicant is under 18 years of age.
First Name
Last Name
Date *
Date
MM
DD
YYYY
How did you become a Christian? *
Describe your relationship with the Lord, how you are growing and what your devotional habits are? *
Do you attend a church, if so which one? What has your involvement in church looked like in the past few years? *
What do you consider your strengths/talents to be? What are areas that you could grow in? *
What do you hope to gain by working at camp? *
What do you hope to give while you are working at camp? *
Have you ever been convicted of a criminal or sexual office? *
No
Yes
If you answered 'yes' to the questions above, please explain.
Additional Comments about the position(s) you are applying for:
Skill #1 *
Archery
Crafts
Horsemanship
Mountain Biking
Ultimate Sports
Drama
Wall Climbing
Guitar Lessons
Canoeing
Skateboarding
Outdoor Adventure/Camping
Lifeguarding
Science
Skill #1 Experience Level *
Beginner
Intermediate
Expert
Comments on Experience
Skill #2 *
Archery
Crafts
Horsemanship
Mountain Biking
Ultimate Sports
Drama
Wall Climbing
Guitar Lessons
Canoeing
Skateboarding
Outdoor Adventure/Camping
Lifeguarding
Science
Skill #2 Experience Level *
Beginner
Intermediate
Expert
Comments on Experience
Skill #3 *
Archery
Crafts
Horsemanship
Mountain Biking
Ultimate Sports
Drama
Wall Climbing
Guitar Lessons
Canoeing
Skateboarding
Outdoor Adventure/Camping
Lifeguarding
Science
Skill #3 Experience Level *
Beginner
Intermediate
Expert
Comments on Experience
Skill #4 *
Archery
Crafts
Horsemanship
Mountain Biking
Ultimate Sports
Drama
Wall Climbing
Guitar Lessons
Canoeing
Skateboarding
Outdoor Adventure/Camping
Lifeguarding
Science
Skill #4 Experience Level *
Beginner
Intermediate
Expert
Comments on Experience
Reference #1 Name *
Reference #1 Name
First Name
Last Name
Relationship to You *
Reference #1 Email *
Reference #1 Phone *
Reference #1 Phone
(###)
###
####
Reference #2 *
Reference #2
First Name
Last Name
Relationship to You *
Reference #2 Email *
Reference #2 Phone *
Reference #2 Phone
(###)
###
####
Reference #3 Name *
Reference #3 Name
First Name
Last Name
Relationship to You *
Reference #3 Email *
Reference #3 Phone *
Reference #3 Phone
(###)
###
####
Authorization of the Applicant regarding Reference Forms *
Authorization of the Applicant regarding Reference Forms
I authorize the release of the disclosed information by the people completing character reference forms for the consideration of the applicant. I waive any right or privilege to inspect or challenge the contents of this form. I understand that the information will be held in confidence by RBC and will not be released to anyone (other than employees, agents, representatives, and/or professional advisors of RBC) without the permission of the person giving such character reference of in the absence of Court Order, Subpoena or laws requiring the disclosure of such information.
First Name
Last Name
Date *
Date
MM
DD
YYYY
What experience to you have in cooking? Have you cooked for large groups of people before?
Do you have your Food Safe Certification?
If so, what year did you take the Food Safe Course
Do you have your NLS, Water Safety and Swim Instruction Qualifications with either AEC or CPR C and First Aid training?
If you do not have the certification listed above, what qualifications do you have?
Describe any previous lifeguarding experience you have.
Do you have any further qualifications for lifeguarding? If so, what are they?
What experience do you have with horses? How often do you ride? Do you take lessons? What is your discipline(s)?
Do you have your own horse? Can you bring your horse to camp? Do they have any vices? How much special schooling do they require on a regular basis?
Do you have the skills to correct bad behavior/habits that camp horses pick up during the summer?
Are you able to work 8-10 hours of physical labour?
Do you know how to fix: barb wire fence, plank/wood corrals and horse tack?
How would you deal with the following situation: You are on a trail ride with 10 children and 1 other staff member. One child falls off their horse and hits their head and their horse runs away. What would you do?
Would you be able to plan and lead a skill on your own? Roughly outline 5, 1 hour beginner/intermediate lessons.
How would you incorporate God/your relationship with God into skills/lessons at camp? What are the teachable, God-related moments that occur when working with horses?
Responsibility *
Excellent - follows through on assigned tasks and goes the extra mile
Good - follows through on assigned tasks with diligence
Average - usually finished assigned tasks
Poor - follows through on assigned tasks if convenient
Work Habits *
Excellent - takes pride in a job well done, smiles even during unpleasant jobs
Good - hard working, dependable, punctual
Average - completes most assignments, follows instructions
Poor - often late, procrastinates, does just enough to get by
Respect for Authority *
Excellent - careful to maintain authority of leadership
Good - respectfully follows chain of command
Average - positive response to direction
Poor - contemptuous, non-responsive, has a better way
Initiative *
Excellent - highly self-motivated, will look for things to do
Good - will do things that need to be done
Average - will do the obvious
Poor - needs to be told what to do
Leadership *
Excellent - leader of leaders, pacesetter
Good - consistent, positive, influential
Average - contributes positively
Poor - passive, indifferent, or negatively influential
Judgement *
Excellent - consistently makes wise decisions
Good - makes wise decisions
Average - makes good decisions in optimal situations
Poor – hasty, indecisive, easily swayed
Concern for Others *
Excellent - deeply sensitive to all others; puts others before self
Good - sensitive to others, usually looks out for others first
Average - general concern for most others
Poor - general concern for most others
Personal Integrity *
Excellent - extremely high values and consistently trustworthy
Good - high value and very trustworthy
Average - generally honest, but may stretch the truth
Poor - questionable or lacking at times
Team Spirit *
Excellent - always considerate, thoughtful, cooperative, a peacemaker
Good - approachable, team builder, responds well to correction
Average - usually cooperative, supportive, maintains team
Poor - causes friction, impatient, works best alone, hard to talk to
Social Skills *
Excellent - respects and honors others, rich and growing relationships, includes outsiders
Good - healthy friendships, relates well to others, makes new friends easily
Average - some good friends, can relate positively with others
Poor - few friends, lack of respect for others, socially awkward
Spiritual Maturity *
Excellent - an inspiration to others, actively involved in letting His kingdom come
Good - studies bibles and applies it, enjoys sharing faith
Average - up and down, finds it difficult to share testimony
Poor - lacks enthusiasm for God
Applicant's Name *
Applicant's Name
First Name
Last Name
Date *
Date
MM
DD
YYYY