Type of Phone * Mobile/Cell Home Work
Type of Phone Mobile/Cell Home Work
Sex * Select one Male Female
Were you born before 2008? * Select one Yes No
Age as of July 1, 2026: *
High School: *
Grade Completed: *
College/University:
Year Completed:
Program:
Language(s) Spoken: *
Language(s) Written: *
Do you identify as any of the following? * Select one Arab, Middle Eastern or West Asian (for example Afghan, Armenian, Iranian, Lebanese, Turkish) Black (for example African, African-Canadian, Afro-Carribean) East Asian (for example Chinese, Japanese, Korean) First Nations (status, non-status, treaty or non-treaty), Inuit or Metis Latin American (for example Brazilian, Colombian, Cuban, Mexican, Peruvian) South Asian or Indo-Carribean (for example Indian, Indo-Guyanese, Indo-Trinidadian, Pakistani, Sri Lankan) Southeast Asian (for example Filipino, Malaysian, Singaporean, Thai, Vietnamese) Caucasian (for example English, Greek, Italian, Portugese, Russian, Slovakian) Prefer not to say
If yes, please exlplain: *
If yes, please explain: *
If yes, please explain: *
Please note all menu concerns that may affect food service. Be specific (for example, if you are vegetarian, be specific about what you eat - fish, no eggs, etc.)
How did you hear about Moorelands Camp? *
If from a personal reference, please list their name below:
1. a) Why have you chosen to serve children this summer? b) How will campers be influenced having you as a leader? *
2. a) How would you define service leadership? (Don't Google it!) *
b) What are the top 3 qualities of an effective leader? Please explain why each one matters *
3. a) What is the value and strength of being part of a community? *
b) What would you contribute to our community?
4. Tell us how your strengths align with the demands of being a committed staff team member. *
5. What factors (physical, emotional, mental, etc) will affect your ability to consistently fulfill your responsibilities as a staff member at Moorelands? *
6. Why are you interested in making a commitment to our community? *