After School Returning Staff Application Please enable JavaScript in your browser to complete this form. - Step 1 of 6Name *FirstLastPreferred NameT-Shirt Size (uni-sex) *Select OneSmallMediumLargeExtra Large2XLContact InformationAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPrimary Phone *Secondary PhoneEmail *EmailConfirm EmailPersonal InformationSex *Select OneFemaleMaleBirthdate (optional)MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age as of September 1, 20122Do you suffer from any disability which could limit you in performing practical duties? *YesNoIf yes, please explain:Do you have any medical, mental, or emotional conditions that may impact your work? *YesNoIf yes, please explain:EducationHigh School *Grade Completed *College/UniversityYear CompletedProgramEmployment HistoryAre you legally eligible to work in Canada? *YesNoHave you ever been convicted of a criminal offence? *YesNoAdditional Relevant Employment History (since May 2022):Please include Name of Employer(s), Position(s) Held, Name of Supervisor(s), and Date(s) of Employment.Next2022 After School Orientation DatesAll Staff orientation is in September. Dates and delivery methods subject to change due to public health guidelines. Orientation Weekend 1: Sept 9-11(all staff) Site Coordinators start Sept 7th. Orientation Weekend 2: Sept 16-18 will be a weekend away at our camp (all) Orientation Weekend 3: Sept 24th What position(s) are you applying for? *BLAST Site Coordinator (two part Interview)LED Programs Coordinator (two part interview)VITAL Coordinator (two part interview)Program LeaderAre you availible for the orientation relevant to the position(s) applied for? *YesNoIf NO, please explain:Are you availible for the full school year contract (September 2022 - June 2023)? *YesNoIf NO, please explain:What days are you available to work in between the hours of 2:30 PM - 6:00 PM? *MondayTuesdayWednesdayThursdayFriday*please note program times change due to bell times at schools are different this year.PreviousNextDue to the current global pandemic, there may be regulations and guidelines created by Toronto Public Health and TDSB Permit office that you will need to follow as a condition of your employment. These may include but are not limited to showing proof of full vaccination, wearing a mask at all times, social distancing etc. These guidelines may change through out the school year. *I can do thatI have questions about thisI'll have to work at thatI never thought of thatCertifications/Qualifications/LicencesPlease indicate Course Name and Expiry Date.Standard First Aid/CPR 'C'Course NameFirst Aid ExpiryExpiry DateFood HandlingCourse NameFood Handling ExpiryExpiry DateHigh Five (no expiry)Course NameDriver's LicenseCurrent Level (G, G-2, G-1)Other Relevant Certification/QualificationsCourse NameOther Qual ExpiryExpiry DateProgram Activity Skills AssessmentWhat activities did you lead last year? *Rate yourself for both Personal Experience and Teaching Ability. Personal Experience: 3 = Excellent 2 = Good 1 = Minimal 0 = No experience Teaching Ability/Experience: 3 = Strong – have lead 2 = Some – confident assisting 1 = Limited – need support 0 = No experiencePhysical Literacy/Sports *Personal Experience0123Physical Literacy/Sports Teach *Teaching Ability0123Gym Games *Personal Experience0123Gym Games Teach *Teaching Ability0123Science Experiments *Personal Experience0123Science Experiments Teach *Teaching Ability0123Homework Help *Personal Experience0123Homework Help Teach *Teaching Ability0123Cooking/Baking *Personal Experience0123Cooking/Baking Teach *Teaching Ability0123Skits and Songs *Personal Experience0123Skits and Songs Teach *Teaching Ability0123Arts and Crafts *Personal Experience0123Arts and Crafts Teach *Teaching Ability0123Music *Personal Experience0123Music Teach *Teaching Ability0123Pick the top 3 skills that you are capable of instructing or assisting with at program. Describe in detail all personal and teaching experience you have with these skills.Skill 1: *Details: *Skill 2: *Details: *Skill 3: *Details: *PreviousNextWhat are your strengths in terms of:Working with children and youth? *Programming? *Community Building? *How do you intend to grow in the following areas this year?Skills? *Leadership? *Since last year:How have you grown in the area of personal leadership? *How have you strengthened your program/activity skills? (ie. Arts and Crafts, Sports, etc.) *How have you strengthened your experience working with children and youth? *What goals are you currently working on? *What did you learn at program last year that you are applying to your life now? *PreviousNextHow did the Moorelands Kids community support you last year? *What did you wish you had done differently last year at program? *What will you contribute to the community this year? *Tell us about any factors that may affect your ability to consistenly fulfill your responsibilities as a staff member at Moorelands Kids:PreviousNextWe appreciate the time and effort you put into completing this application. Due to the volume of applications, we contact only those selected for an interview. All successful applicants will be required to consent to a police record check. NOTE: Moorelands Community Services is smoke free, alcohol free, and drug free. Your lifestyle habits should be a positive reflection of the Moorelands Community and Culture.Submitting Your ApplicationPlease complete ALL sections of the application and click submit.PreviousEmailSubmit