Name ______________
Age _______________
Birthday-MM/DD/YYYY ____/____/____
School __________________
Grade Completing_______________
Social Insurance Number ________________
Home Phone Number __________________
Cell phone number __________________
Email address___________________
Please name 3 references that have seen you in a working setting. Please note only one of your references may be a relative.
name
contact information (phone number and email)
relation
Please write what age devision you would prefer working with.
___________________________________
Please write which councelor you would like to work with.
____________________________________
Please note while we take your choices into account we cannot guarantee that you will recieve your first choice of age devision or co councellor.
Due to the large number of applicants not everyone will be contacted for a interview.
