Employment Application Form

Personal Information

Name*

FirstLast

Cell Phone*

Permanent Phone

Email*

Permanent Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code

Temporary Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code

Date Of Birth

Age

Please enter a value between 0 and 85.

Age as of July 1, 2013

Social Security or Social Insurance Number

Drivers License State / Province

License Number

Summer Camp Work Experience

Camp One

Camp

Director

Phone

Employment Start Date

MM

DD

YYYY

Employment End Date

MM

DD

YYYY

Position

Roles & Responsibilities

Please include additional comments outlining your roles, responsibilities and the age groups you have worked with.

Camp Two

Camp

Director

Phone

Employment Start Date

MM

DD

YYYY

Employment End Date

MM

DD

YYYY

Position

Roles & Responsibilities

Please include additional comments outlining your roles, responsibilities and the age groups you have worked with.

Camp Three

Camp

Director

Phone

Employment Start Date

MM

DD

YYYY

Employment End Date

MM

DD

YYYY

Position

Roles & Responsibilities

Please include additional comments outlining your roles, responsibilities and the age groups you have worked with.

Education

Undergraduate School Attended

Major/Degree Earned

Year Completed

Graduate School Attended

Major/Degree Earned

Year Completed

Are you currently a teacher or educator?

Yes
No

If Yes, grade and subject:

Grade

Subject(s)

Employment History (Other Than Camp)

Name of Organization One

Name of Organization

Dates Employed

to

Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code

Roles & Responsibilities

Immediate Supervisor

Immediate Supervisor Phone

Reason for Leaving

Name of Organization Two

Name of Organization

Dates Employed

to

Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code

Roles & Responsibilities

Immediate Supervisor

Immediate Supervisor Phone

Reason for Leaving

Name of Organization Three

Name of Firm

Dates Employed

to

Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code

Roles & Responsibilities

Immediate Supervisor

Immediate Supervisor Phone

Reason for Leaving

Please feel free to upload a copy of your most recent resume.

Placement Preferences

Please indicate your placement preferences for placement. Hold control and click to select multiple options.

Position

Program Type

Expertise

Please rate your expertise from 1 (inexperienced) to 5 (highly experienced) and check if you have ever coached, taught, studied, and/or competed in any of the following activities.

Camping

Coached/Taught
Competed At
Studied

Select all that apply

Skiing/Snowboarding

Coached/Taught
Competed At
Studied

Select all that apply

Photography

Studied

Select all that apply

Creative Writing

Taught
Studied

Select all that apply

Fitness

Taught
Studied

Select all that apply

Do you speak French?

Yes
No

Are you fluent?

Yes
No

Do you speak Italian?

Yes
No

Are you fluent?

Yes
No

Do you speak Spanish?

Yes
No

Are you fluent?

Yes
No

Do you speak Mandarin?

Yes
No

Are you fluent?

Yes
No

Have you ever lived, worked or studied abroad?

Yes
No

Where?

Have you ever participated in a travel program?

Yes
No

Which one(s)?

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.

Swimming

WSI
Instructor's
National Lifeguard

If you plan on applying for a lifeguard position, all certificates must be valid through August 2013.

WSI Expiry Date

Instructor's Expiry Date

National Lifeguard Expiry Date

First Aid

Basic First Aid
CPR

ALL staff must have First Aid and CPR certification valid through August 2013. Wilderness First Aid is optional.

CPR Expiry Date

Basic First Aid Expiry Date

Driving:

Driver's License
15 Passenger Van License

All applicants on domestic Community Service programs and some in the Global Adventure division may require additional licensing to operate the vehicles. Licensing will be discussed should you be given an interview.

Quebec applicants must have a full license (not probationary). Ontario applicants must have a valid “G” license for at least 2 years.

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

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

Please explain.

Are you available to attend our Precamp Training session tentatively scheduled from Friday, May 31 - Sunday June 2, 2013?

Yes
No

Trip Directors - Are you also available for our Trip Director seminar on the weekend of of Friday, April 26 - Sunday, April 28, 2013?

Yes
No

How did you hear about Westcoast Connection / 360º Student Travel (please be specific)?

Short Responses

Please answer all of the following questions in the space provided or on a separate sheet. Please be concise – word maximum is 150 words for each response.

Why do you want to work with Westcoast Connection / 360º Student Travel this upcoming summer?

What would you bring to the Westcoast Connection / 360º Student Travel team?

What would you see as a challenge(s) with the position you have applied for?

Additional Character References

(excluding friends or personal relatives)

Name and Title

Phone

Address

Street AddressCityState / Province / RegionZIP / Postal Code

Name and Title

Phone

Address

Street AddressCityState / Province / RegionZIP / Postal Code

Name and Title

Phone

Address

Street AddressCityState / Province / RegionZIP / Postal Code

Section Break

*

I have read and I understand the job description and responsibilities of the position that I am applying for.

*

I understand that communication will be done via email and I will ensure that @westcoastconnection.com is a ‘safe’ email domain.

All Westcoast Connection / 360º Student Travel employees will be required to submit a recent medical history in the spring of 2013. We thank you for taking the time to fill out this application form. If you do not have a valid written reference at this time, please ensure that you bring one with you should you be chosen for an interview.

By submitting below, you are confirming that the information contained within this application is true and accurate. Further, you authorize Westcoast Connection / 360º Student Travel 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.

Westcoast

Westcoast

Program Types

Length

For Grades Completing

Country

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Employment Application Form