EmailMe Form - Weekend Catering Staff Application

Personal Information

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Email *

Email will be our primary means of communication.

Date of Birth *

MM / DD / YYYY

All applicants must be at least 16 years of age.

Gender *

Male

Female

Marital Status *

Single

Married

Are you Legally Allowed to Work in Canada *

Yes

No

Please explain why you can't leagally work in Canada. *

Church Information

Name of Church Where You Hold Membership or Regularly Attend *

City

Denomination

Work History

1) Name of Employer

Employer Phone Number

### - ### - ####

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Leave blank if you are still employed

Description of Responsibilities

2) Name of Employer

Employer Phone Number

### - ### - ####

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Leave blank if you are still employed

Description of Responsibilities

3) Name of Employer

Employer Phone Number

### - ### - ####

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Leave blank if you are still employed

Description of Responsibilities

Education

Most Recent School's Name *

Major/Minor/Grade Level *

Years Attended *

Past School's Name

(if applicable)

Camp Experience

List below any past experience that you may have with summer camps. This includes Camp Shalom and any other camp

1) Camp Name

Including and outside of Camp Shalom

Position and Responsibilities

2) Camp Name

Position and Responsibilities

What skills or experience do you have that would be useful for being on the catering team at Countryside Camp

Why do you want to be on the weekend catering team at Countryside Camp?

Is there anything else we should know?

References

Please provide information for at least two references.

Important: Each reference will be automatically emailed and asked to fill out an online reference form.

1) Name of Reference *

First Last

Email *

Your reference will be automatically emailed and asked to fill out a reference form.

Relationship *

Phone Number

### - ### - ####

2) Name of Reference *

First Last

Email *

Your reference will be automatically emailed and asked to fill out a reference form.

Relationship *

Phone Number

### - ### - ####

3) Name of Reference *

First Last

Email *

Your reference will be automatically emailed and asked to fill out a reference form.

Relationship *

Phone Number

### - ### - ####

Application Aggreement

By submitting this form I agree to the following:
1.I hereby verify that all information that I have written on this form is true.
2.I have read, understood, and am in agreement with the Ministry Statement of Countryside Camp at the top of this document.
3.I have read, understood, am in agreement with, and consent to adhere to, CCCCA’s Lifestyle & Conduct Policy (if Lifestyle & Conduct Policy is not posted on website or attached to application, please contact CCCCA to obtain current copy).
4.I understand that service at Countryside Camp demands hard work and acceptance of the disciplines of a Christian community, including tedious and commonplace duties, as well as the more creative aspects of ministry.
5.I further understand that should I be employed by Countryside Camp, the essential functions of my position would include, but not be limited to, the duties listed in my job description, and that Countryside Camp & Conference Centre Association, Inc. reserves the right to add to, delete, change or modify my job duties.
6.I agree to obtain a criminal records check and/or vulnerable sector search at my own cost upon successful acceptance with CCCCA, Inc.

Personal Information

Church Information

Work History

Education

Camp Experience

References

Application Aggreement

If a confirmation note does not appear after you click "Submit Application," scroll up to see if you filled in all of the required fields.