Your Contact Information First Name * Last Name * Birth Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 You must be 15 years of age (17 for Teen Camp) or older to volunteer at Camp NeeKauNis. Street Address * City * Postal Code * State/Province * Phone Number * Phone Number 2 Email * Part A. Camp Program and Position Camp Program(s) * Camp program or programs for which you are applying. Please see the Camp Program schedule. Positions * Camp Director Program Worker Senior Lifeguard Junior Lifeguard Boat Caretaker Head Cook Kitchen Worker Childcare Worker Choreperson Cabin Leader Maintenance Worker Friendly Adult Presence Positions for which you are applying. You can apply for more than one. Why do you want to work at Camp Neekaunis? * Training and ExperienceTell us about your training and experience relevant to the above position(s).Please list the certification documents that you have, and immediately email them to neekaunis-admin@quaker.ca . If you know the date that you will receive a certification, please note it here, and then email it to us on that date.Please note:Senior Lifeguards must have full NLS Certification.Junior Lifeguards must have at least Bronze Cross.Boating Certification is strongly advised for all waterfront workers.Head Cook must have current Food Handlers Certification.First aid training is an asset.Please list any additional training that may be relevant. Your Training and Experience * Please read the notes above about what to include here. Part B. References Do you attend a Quaker Meeting or Worship group? * Yes No Name of Meeting or Worship group * If yes, which one. Name and contact of referee * If yes, please ask your clerk, recording clerk, or treasurer to be your referee, and give name and best contact phone number and email here. Other reference * If you are not involved in a Meeting, please give one reference from an institution that knows your work or skills: with children, trades, or other areas of specialty and that is not a personal reference. Please provide a name and contact information (email and phone number). Are you a returning worker or volunteer? * Yes No Camp Directors or members of the Camp NeeKauNis Committee * Please give the names of Camp Directors or members of the Camp NeeKauNis Committee with whom you have worked. Personal Reference * Please give the names and contact information (email and phone number) for two people who have known you for more than two years. Part C. Police Records Checks You need a Police Records Check (also known as a Vulnerable Sector Check) if you will be 18 or older when you are working directly with vulnerable persons, or in a position of authority. Workers or Directors in regulated professions, such as those certified by the Ontario College of Teachers, can submit the pertinent documentation.A vulnerable person is defined as a person who, because of their age, disability, or other circumstances, whether temporary or permanent, are (a) in a position of dependence on others or (b) are otherwise at a greater risk than the general population of being harmed by a person in a position or authority or trust relative to them. (Ottawa Police Services). This requirement pertains to:DirectorsCooks age 18 or olderLifeguards aged of 18 or olderCabin counsellors, kitchen workers, and program workers age 18 or olderPlease contact your local police service for details. The police check belongs to you.In the City of Toronto, you will require a code from Camp to proceed. Please contact neekaunis-admin@quaker.ca for this waiver and other instructions.Email a copy to neekaunis-admin@quaker.ca and your director. If you have submitted a copy of your police check in a prior year, let us know. If you have a PRC done within the last two years for another purpose, scan and send to the email given above. Part D. AgreementsCamp Neekaunis AgreementCamp NeeKauNis agrees to the following. Camp NeeKauNis will provide a safe working environment for paid and volunteer staff and campers through its published policies and within the regulations of the Province of Ontario.Any personal information obtained from your referees or through a Vulnerable Sector Police Check will be held in confidence.Camp NeeKauNis will safeguard your files amd retain only personal information relating to your service: name, contact information, and date of service.Camp NeeKauNis will provide training for tasks and policies. We value you and your service to Camp NeeKauNis. Volunteer and WorkerBy checking the box below, you agree to the following statements. I have read the policies and procedures of Camp NeeKauNis.I understand that after being accepted as a worker, I will receive a link to the On-Line Worker Training Module and will complete it.I agree to abide by the policies and procedures of Camp NeeKauNis while I am present at Camp. Camp NeeKauNis will provide training and review sessions as needed and I will attend them. The time of these sessions will be arranged by Camp Committee and the session Director(s).I will respect the privacy of workers and campers and will not engage in wilful gossip that could harm their integrity or the integrity of Camp. When there is a need to report acts of bullying and harassment or deliberate damage, illicit drug or alcohol use, sexual or physical abuse, I understand that I must report and will be given options to whom to report. Camp will follow-up on any report according to its policies, CYM policies and the laws of the Province of Ontario. I am aware that there are sending home consequences to some Camp policies.I will not be alone with any camper under the age of 18 without a second person present or in clear view of others. I will provide supervision for person(s) without police checks who may be working with campers when asked by the Director. Your agreement to the above * Yes No Part E. Signature Today's Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 Your Signature With my signature, I give permission for Camp NeeKauNis to contact my references in Part B above. Signer Name * Parent or Guardian SignatureIf you are under 18, a parent or guardian must sign here. Parent or Guardian Signature For "Title", please enter the relationship to the applicant. Signer Name Signer Title
