Adventures in Leadership Application
Leaders and LIT's must be able to commit to at least one week of camp (July 9 - 13 and/or Aug 7-10 (4 day camp) in addition to the mandatory training day on Friday June 29th.
L.I.T. gr 8 - 9 (gr. 7's who have participated in at least two United Church Summer camps or who have permission from the ministry staff at Highlands United Church may also apply)
Leaders: grade 9 - 12 with at least one year experience as an L.I.T or equivalent may apply. Please see summer program brochure for more information. Acceptance as a leader is based on this application and an interview. Limited spaces are available. Please note that as in previous years, there is a $75 fee to be apart of our Leadership team. This fee covers the cost of a camp shirt, all training materials and food for the training day, as well as all entrance fees associated with the day camps. Please follow the link to paypal, or call the office to arrange payment.Application form to be filled out by the LIT or Leader.
Name *
First, Last
Your answer
Address 1 *
house number and street
Your answer
Address 2
PO Box or Apartment/Unit #
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Phone Number *
Your answer
Email *
Most correspondence is done through email. Please ensure this is an address you use regularly. You may use a parent's address if necessary.
Your answer
Birthdate *
yyyymmdd
Your answer
Grade in September 2018 *
Your answer
School Attended *
Your answer
Do you have any allergies, dietary restrictions, or special needs we should be aware of? *
If yes, please explain
Your answer
Personal Health Number (Care Card #) *
Your answer
Program applied for. *
Please check all that apply
Required
I am able to attend the training day on Friday June 29th *
Required
Describe any previous experience you have had working with children *
Your answer
Explain why you would like to be an L.I.T. or Leader. *
Your answer
What strengths, skills and training do you bring to this position? *
Also include any certificates you may have achieved, such as babysitting, first aid or lifesaving. Give as much detail as possible.
Your answer
What would you like to learn or what skills would you like to develop during your time as an L.I.T or a leader? *
Your answer
If you have not served as a leader at a camp run by Highlands United Church before, please provide the names and contact information of 2 people who can provide a reference for you.
These people may be neighbours, coaches, teachers or friends (adults) who are not related to you.
Your answer
Parental Release and Photo Permission Form
Parent/Guardian's Name *
First, Last
Your answer
Parental Release *
By clicking 'I agree', I acknowledge that the person named on this form is participating in this program voluntarily and that Highlands United Church will not assume responsibility for injury, loss or damage sustained by participants during the course of this program. I authorize camp staff to seek emergency medical treatment for my son/daughter should the need arise.
Photo Release *
By clicking 'I agree', I give permission for my son/daughter's photograph to be used in Highlands United Church's publications including web site, program promotional materials or brochures. I understand that my child's name will not be used unless I have given my separate written permission.
Payment *
Please record here the amount of payment required. You will then be directed to pay pal once you click 'submit', A pay pal account is not necessary to submit payment by credit card on the pay pal site. Enter 0.00 if applying to be a leader.
Your answer
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