Cirque du START 2014: Security Volunteer
It’s that time of year again: Cirque du START has hit the road and this time it has arrived at Turner Fenton, in search of new talent! Calling all Strongmen and Strongwomen, we need you to come join us! Step right up and display your talent, show us what makes you unique and be prepared to be amazed!
We are searching for a group of hardworking and dedicated grade 10, 11 and 12 students who would like to participate in the conference as members of our 2014 START Security team. In order to apply, please complete this application in its entirety and return it to Room 112 in the North building or Room 306 in the South building, no later than Friday, October 3rd at 3:00 PM. Upon selection, there will be a mandatory attendance fee of $50.00 that covers the cost of your shirt, food and entertainment. All payments will be made through Cashless Schools.
If selected, you must be available to attend the training session on Tuesday, November 4th, as well as the conference on November 14th — 15th.
In regards to the selection process, all of the applications will be reviewed and marked. Please ensure that each portion of the application is complete, including the Personal Information, Teacher References, Student & Parent Declarations and Questionnaire. Moreover, please refrain from disclosing your name, grade or any other personal information while answering the questionnaire. You may only apply for ONE of either Security/CCom/LD. Failure to meet any of these requirements may result in the automatic withdrawal of your application. Any further questions or concerns can be directed to the START Security Heads at .
Wishing the best of luck to all applicants!
Puneet Aujla Harkirat Sunner
START 2014 Head of Security START 2014 Head of Security
Personal Information
Name: / Student #: / Grade: / Gender:Home Phone Number: / Cell Phone Number:
Doctor’s Name: / Doctor’s Phone Number:
Address: / Program:
☐Academic
☐Applied
☐Extended French
☐MYP/IB
☐Vocational / T-Shirt Size:
☐Small
☐Medium
☐Large
☐X-Large
Health Concerns/Allergies: / Epi-Pen? / ☐Yes ☐No
Dietary Concerns: / ☐None ☐Vegetarian ☐Vegan ☐Lactose
Emergency Contact #1
Name: / Relation:
Telephone Number(s):
Emergency Contact #2
Name: / Relation:
Telephone Number(s):
Teacher References for ______(Student Name)
1. Teacher’s Name: ______Signature: ______
Please circle in PEN which most represents the student:
Leadership / 1 / 2 / 3 / 4 / 5 / 6 / 7Responsibility / 1 / 2 / 3 / 4 / 5 / 6 / 7
Maturity / 1 / 2 / 3 / 4 / 5 / 6 / 7
Enthusiasm / 1 / 2 / 3 / 4 / 5 / 6 / 7
1 being the lowest and 7
the highest
Comments: ______
2. Teacher’s Name: ______Signature: ______
Please circle in PEN which most represents the student:
Leadership / 1 / 2 / 3 / 4 / 5 / 6 / 7Responsibility / 1 / 2 / 3 / 4 / 5 / 6 / 7
Maturity / 1 / 2 / 3 / 4 / 5 / 6 / 7
Enthusiasm / 1 / 2 / 3 / 4 / 5 / 6 / 7
1 being the lowest and 7 the highest
Comments: ______
Student Declaration:
I declare that the above information is correct. I am enthusiastic about being an LD at the 2013 START Leadership Conference, affirm that I will be available for all the trainings and for the weekend of the conference, and will follow all rules and regulations put in place for this Conference. I will not leak any START information such as lists, planned activities and executive data.
Student Signature: ______Date: ______
Parent Permission for ______(Student Name)
Parent/Guardian Declaration:
I declare that the information that my son/daughter has put in his/her application is correct and that they have my permission to take part in this activity. I am willing to pick up my son/daughter or pay their transportation expenses if they are required to leave during the duration of the conference.
I hereby permit the reproduction or display of photographs/films/recordings of my child for future START promotional purposes.
Parent/Guardian Signature: ______Date: ______
The following questions will help us determine the most suitable candidates for the position. You can answer the questions in any way you feel fit, but creativity is strongly recommended. Please refrain from disclosing your name, grade or any other personal information while answering questions. Each question has a 150 word limit unless otherwise specified. Have fun with it!
1. List 2-3 conference, leadership or volunteer experiences you have had in the past. Choose one and elaborate on what you gained from it and how you can apply what you've learned to the 2014 Security Team.
2. The circus is a place for individuals to flourish their uniqueness and flaunt their originality! From acrobats to elephants and strongmen to silly clowns, the circus has seen it all. If you were to join the circus, what part would you play and why?
3. It's 3 am and you see what appears to be a creepy clown lurking in the hallways. Like the brave strongman (or strongwoman) you are, you approach the clown, only to find it is a wandering delegate who, bored of the conference, has decided to amuse himself and play a mean prank on the others. How would you handle this situation?
4. It is mandatory for there to be at least one security member from your team at your station at all times. It’s time for the big dance and your whole group wants to go all at once. Unable to decide who must stay behind, tensions rise. How would you deal with this situation?
5. It's the summer of 1923 and you have recently joined the Canadian Travelling Circus. You've only been there for 2 months and, because you don't have any circus talents of your own, you've been stuck cleaning stalls. One day, right near the grand finale of the circus' most successful shows yet, you see a small little skunk sneak in though a rip in the tent. Suddenly a foul odor reaches your nose and spreads through the entire tent, causing a huge ruckus. Horses are galloping, elephants are trumpeting and people are screaming! Looking around, you think to yourself, this is it! This is the time to prove your talent to the rest! To your right, you see an old pizza crust, a brick and a hula hoop. How do you use these three objects to calm down the scene while simultaneously displaying your talent to the rest of the circus? (max 250 words)
GOOD LUCK! J
Response Sheet for Student Number ______
(no names from this page forward, student number only)
* DUE date Friday, October 3rd, 2014*