Junior Counselor Application Form
March Break Camp 2016
Who should apply:
Anyone interested in pursuing a position as a camp counselor, with interest in working with children who
likes to be busy, active and have fun. No experience necessary and although completion of the CIT
and/or LIT program is an asset, it is not required.
Details:
Junior Counselors are responsible for assisting Camp Directors and Camp Counselors with in-program
delivery and supervision. In return, you receive hands-on experience and on-the-job training. You also
receive a performance appraisal at the end of the week as well as ongoing feedback and coaching from
supervisors to help you gain the most from your time. Junior Counselors receive an allowance of $100
each week ($20/day) to help recover any costs that may be incurred while volunteering. Required
qualifications of all junior counselors in camps include Standard First Aid & CPR C within 2 years and
High Five: Principles of Healthy Child Development.
See the next page for details on these courses.
Please submit all applications to:
Robin Cloutier, Program Manager
Phone: 613-798-8950 x230
Fax: 613-729-1279
[email protected]
APPLICANT INFORMATION
Full Name: _____________________________________________
Address:_____________________________________________________________________________
Phone Number: ______________________________
Date of Birth:______________________________ Email:_____________________________________
Most correspondence will be by email. Please ensure that your email address is accurate and
printed clearly.
SKILLS & ABILITIES
Please indicate with the appropriate letter next to each activity:
A – I am interested B – sort of interested C – I am NOT interested
_____ Swimming
_____ Sports
_____ Visual Arts
_____ 4-5yr old Theme: Kinder Canuck
_____ Cooking
_____ 5-10yr old Theme: Mukluk Canuck*
_____ Outdoors/Adventure
*includes outtrip(s)
_____ Lego
*Please note that there are no junior counselor positions available in the Ski/Snowboard program. If you are
interested in applying for a counselor position in this program, please contact Robin Cloutier (info above).
ABOUT YOU
Why do you wish to work at Dovercourt during March Break?
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CERTIFICATIONS
Standard First Aid, CPR level “C”, High Five: Principles of Healthy Child Development are required
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before your first day (March 14 ). Please indicate by marking the boxes, which you currently hold:
Standard First Aid & CPR C (within the last two years)
❑ currently valid
❑ will obtain prior to March 14th
This course is available at Dovercourt on January 23-24th (course code AOL055), or March 5-6th (course
code AOL056). Registration is required in advance.
High Five: Principles of Healthy Child Development
❑ currently valid
❑ will obtain prior to March 14th
This course is available at Dovercourt on February 28th (course code R4A048) or for other options visit
highfive.org. Registration is required in advance.
Please list any other relevant qualifications you have attained (babysitting, lifesaving, leadership, etc)
1 ________________________________________________________________________
2 ________________________________________________________________________
3 ________________________________________________________________________
4 ________________________________________________________________________
5 ________________________________________________________________________
Thank you for your application. Please note that if you are selected to work during March Break,
there will be a mandatory training session on Saturday, March 12, 2016.
Application due date for March Camps is February 22
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and you will hear from me by February 29
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Please submit your application in one of three ways:
- attach the file to an e-mail to [email protected]
- print the form and fax your responses to 613-729-1279, or
- drop it off in person at 411 Dovercourt Ave
Our Commitment to Children
As a HIGH FIVE® accredited organization, Dovercourt is committed to
developing and delivering programs that are child-centered and reflect the values
of respect, diversity and inclusion. All of our program staff are trained and
certified in High Five: Healthy Child Development and our programs are
evaluated regularly to ensure a high standard of quality.