STEP Applicant Application

Camper Information

Name

First

Last

Sex

Male
Female

Participants Email

Email

Confirm Email

Moorelands Camp will use this email if the program needs to move online to send out different tasks that are part of the program. Any other communication you will be notified of by Moorelands Camp

What school do you currently attend?

What grade are you in?

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Camping Experience & Skills

Did you complete the LEDGE program?

Yes
No

Have you attended other overnight camps before?

Yes
No

How many lengths of a pool can you swim without stopping?

What swim level have you achieved?

Please tell us about your ability for each of the following skills. Make sure for each one you check all that apply.

How many days have you been on an out trip?

1
2-4
4-6
Longer

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Work Experience

Please list any job, volunteer, or co-op experience you have had

Name of Job/Volunteer/Co-op Experience 1

What did you do? (You can use point form if you like)

When was this?

Other work experience?

Yes
No

What are your future school and career plans?

Have you read the STEP program information included in the information booklet?

Yes
No

What questions do you have about the program?

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Additional Questions

What is your personal definition of leadership?

What is the purpose of the STEP program?

Why do you want to be in the STEP program?

What leadership skills are you bringing to the STEP program?

What do you intend to accomplish in STEP?

What will be difficult for you?

What things do you typically worry about?

If you are upset, frustrated, or angry, what is your usual response?

Describe an example of something that has been difficult for you and how you managed to overcome it. Ex a hard class at school, a commitment at home, etc.

Name an adult in your life who has influenced you:

What leadership skills do they possess that you value yourself?

How do you personally want to be different at the end of the program?

By typing your name below you agree that you've answered each of these questions as best you can:

Date (dd/mm/yyyy)

By typing your parent/guardians name below they agree to give you permission to participate in STEP

Date (dd/mm/yyyy)