After School Returning Staff Application

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- Step 1 of 6

Name *

First

Last

Preferred Name / Moorelands Name

T-Shirt Size (uni-sex) *

Contact Information

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Primary Phone *

Secondary Phone

Email *

Confirm Email

Personal Information

Birthdate (optional)

Age as of September 1, 2024

Do you suffer from any disability which could limit you in performing practical duties? *

If yes, please explain:

Do you have any medical, mental, or emotional conditions that may impact your work? *

If yes, please explain:

Education

High School *

Grade Completed *

College/University

Year Completed

Program

Employment History

Are you legally eligible to work in Canada? *

Have you ever been convicted of a criminal offence? *

Additional Relevant Employment History (since May 2024):

Please include Name of Employer(s), Position(s) Held, Name of Supervisor(s), and Date(s) of Employment.

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2024 After School Orientation Dates

All Staff orientation is in September. 
Orientation Weekend 1: Sept 6-8(all staff) Site Coordinators start Sept 3rd. 
Orientation Weekend 2: Sept 13-15 will be a weekend away at our camp (all)
Orientation Weekend 3: Sept 21st

What position(s) are you applying for? *

City Kids (formerly BLAST) Site Coordinator (two part interview)
Kids Club (formerly LED) Programs Coordinator (two part interview)
VITAL Youth Coordinator (two part interview)
Program Leader
Sports Program Leader
Kids Club Program Leader
VITAL Youth Program Leader

Since you chose a supervisory role, please explain any experience you had supervising staff. *

Are you available for the orientation relevant to the position(s) applied for? *

If NO, please explain:

Are you available for the full school year contract (September 2024 - June 2025)? *

If NO, please explain:

What days are you available to work in between the hours of 2:30 PM - 6:00 PM? *

Monday
Tuesday
Wednesday
Thursday
Friday

*please note program times change due to bell times at schools are different this year.

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Certifications/Qualifications/Licences

Please indicate Course Name and Expiry Date.

Standard First Aid/CPR 'C'

Course Name

First Aid Expiry

Expiry Date

Food Handling

Course Name

Food Handling Expiry

Expiry Date

High Five (no expiry)

Course Name

Other Relevant Certification/Qualifications

Course Name

Other Qual Expiry

Expiry Date

Program Activity Skills Assessment

What activities did you lead last year? *

Below are the different areas of program activities we cover:

1. Physical Literacy/ Sports 2. Gym Games 3. Science Experiments 4. Arts and Crafts 5. Team Building activities 6. Debriefs

Pick 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: *

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What 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? *

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How 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:

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We 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 Application

Please complete ALL sections of the application and click submit.

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