Girl Guides of Canada – BC Camping Committee

PROVINCIAL & INTERPROVINCIAL CAMP/EVENT APPLICATION

Guider Application Form

Name: ______Birth date (M/D/Y): ______

Address: ______

City/Town: ______Postal Code: ______

Phone number (including area code): ______iMIS number: ______

Email address (that is checked regularly): ______

Unit: ______

District: ______Area: ______

Years in Guiding: Girl: ______Adult: ______

Current position(s): ______

Past position(s): ______

Has permission been given for image release? Yes: ___ No: ___

Is Swim Test or Boat Test entered into iMIS? Yes: ___ No: ___Expiry date: ______

Camp(s)/Event(s) applied for: (List in order of preference)

1)______

2)______

3)______

The following must be included with this application:

Two references – no relation (one guiding, one non-guiding)

Completed health form (H2) (girlguides.ca)

Code of Conduct (girlguides.ca)

Please read the paragraph below before signing

I, ______promise to abide by the all the rules of the Provincial/Interprovincial Camp/Event, during the camp/event, home stay and while traveling to and from the camp/event. I agree to send a report of the camp/event to the BC Camping Committee upon my return home. I agree to travel with the girls selected for this camp/event from the designated point of departure to the event site and return. I am aware that if I am accepted for the camp/event, I may encounter regional, social and cultural differences, and I am prepared to meet them in the true spirit of Guiding.

I have read the statement on the Event Information Sheet concerning provincial financial assistance for adults, and accept full responsibility for any other expenses I incur in connection with this camp/event.

Signature of Applicant: ______Date: ______

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Acknowledging Signature of Commissioner: ______Date: ______
Camping Experience within Guiding (as an adult only): attach extra sheet it necessary.

Date / Location
Girl Guide camp, provincial campsite, etc / Residential (R)
Tenting (T)
Adventure (A) / Number of
Nights / Type of
Cooking
(patrol/QM, etc) / Method of Cooking (propane, white gas, fire, tin foil oven) / Responsible
Guider (Y/N)

Camping Experience outside of Guiding (as an adult only).

Date / Location
(Type) / Type
(family, youth camp, church camp) / Residential (R)
Tenting (T)
Adventure (A) / Number of
Nights / Age Range / Your position

Applicant’s Letter:

In your own words, please write a letter stating why you feel you should be chosen for this camp/event, what you expect to contribute to the camp/event and if applicable, to your host family (if applicable) and to the province you will be visiting. Also tell us what you expect to gain from this camp/event and how you feel you will be able to share it with your Unit/District/Area/Province. (500 words or less)

Please put this on another page and attach it to this application form.

Qualifications

First Aid: Level & expiration date: ______

Waterfront: Level & expiration date: ______

Other: Level & expiration date if applicable: (Such as Food Safe, Flat Water canoe certification, Class 4 driver’s license) ______

What aspects of Guiding do you most enjoy?

______

______

______

Interests and hobbies outside of Guiding:

______

______

What interprovincial/international experience do you have that is relevant to this camp?

______

______

What education, employment, volunteer and/or life experience do you that is relevant to this camp/event?

______

Have you accompanied girls on an overnight Guiding camp/event outside your area? (Please give details)

______

______

______

For Island ROAM: Are you subject to motion sickness (carsickness or seasickness)? Yes: ___ No: ___

If yes, how will you manage this on during a week-long travelling experience in vehicles and boats?

______

______
Girl Guides of Canada – BC Camping Committee

NON-GUIDING REFERENCE FORM for Guider Applicant

To be completed by applicant prior to giving to person writing reference.

Applicant’s name: ______

Address: ______

City: ______Postal Code: ______

Email: ______Telephone: ( ) ______

Name of Camp/Event: ______

This form is to be returned to the applicant by: ______

Brief description of camp/event from the information page: ______

______

______

Person who has been asked to write this reference:

Name: ______

How do you know this applicant? ______

For how long? ______

Reference writer: The applicant has chosen you to fill out the reference form on the reverse side to accompany her application for the camps/events listed above. In order to preserve confidentiality, you are requested to return the completed form in a sealed envelope (signed over the seal).

In order to help us in selecting the most suitable candidates for each camp/event, your honest, detailed evaluation (point form is acceptable) of the applicant's qualities is essential. The guidelines are suggestions only—your comments from personal observation are important for the selection process.

Reference Form – Non-Guider

(PLEASE DO NOT MENTION CANDIDATE’S NAME ON THIS PAGE)

1. Social and emotional maturity: Courtesy, tolerance, poise, sincerity, sensitivity, expression of thoughts. Does she make reasonable judgments? Does she willingly accept and comply with rules and regulations?

______

2. Dependability: How is she at accepting assigned duties and direction, doing her share, showing initiative, seeing what needs doing and following through? Would she provide adequate support, supervision and encouragement to girls in her care while travelling, at camp and during home stay?

______

3. Adaptability: How does she cope with new experiences, new people and unexpected situations? Is she flexible? Does she operate well under extended periods of stress and in unfamiliar surroundings?

______

4. Relationships: How does she get along with other adults and girls? Does she listen well? Is she a good team member? Do girls respect her leadership? Does she have a sense of humour and a cheerful disposition? Can she meet and converse comfortably with strangers?

______

5. Personal appearance: How does she present herself with regard to deportment, grooming, personal hygiene and general health? Is she comfortable in uniform?

______

6. What specific qualities make this applicant a suitable person for this camp/event? Does she have any outstanding personality traits or skills that would enhance the experience she and others would have at the event/camp?

______

7. Do you FULLY recommend this applicant for this camp/event? Give specific reasons for your answer.

Yes: ______

No: ______

PLEASE RETURN THIS COMPLETED FORM TO THE APPLICANT IN A SEALED ENVELOPE WITH YOUR SIGNATURE ACROSS THE SEALED FLAP.

Signature: ______Date: ______

Thank you for taking the time to fill out this form.

Girl Guides of Canada – BC Camping Committee

GUIDING REFERENCE FORM for Guider Applicant

To be completed by applicant prior to giving to Guider writing reference.

Applicant’s name: ______

Address: ______

City: ______Postal Code: ______

Email: ______Telephone: ( ) ______

Name of Camp/Event: ______

This form is to be returned to the applicant by: ______

Brief description of camp/event from the information page: ______

______

______

Guider who has camped with the applicant and has been asked to write this reference:

Guider’s name: ______

Guiding Position: ______

Reference writer: The applicant has chosen you to fill out the reference form on the reverse side to accompany her application for the camps/events listed above. In order to preserve confidentiality, you are requested to return the completed form in a sealed envelope (signed over the seal).

In order to help us in selecting the most suitable candidates for each camp/event, your honest, detailed evaluation (point form is acceptable) of the applicant's qualities is essential. The guidelines are suggestions only—your comments from personal observation are important for the selection process.

Reference Form –Guider

(PLEASE DO NOT MENTION CANDIDATE’S NAME ON THIS PAGE)

1. Social and emotional maturity: Courtesy, tolerance, poise, sincerity, sensitivity, expression of thoughts. Does she make reasonable judgments? Does she willingly accept and comply with rules and regulations?

______

2. Dependability: How is she at accepting assigned duties and direction, doing her share, showing initiative, seeing what needs doing and following through? Would she provide adequate support, supervision and encouragement to girls in her care while travelling, at camp and during home stay?

______

3. Adaptability: How does she cope with new experiences, new people and unexpected situations? Is she flexible? Does she operate well under extended periods of stress and in unfamiliar surroundings?

______

4. Relationships: How does she get along with other adults and girls? Does she listen well? Is she a good team member? Do girls respect her leadership? Does she have a sense of humour and a cheerful disposition? Can she meet and converse comfortably with strangers?

______

5. Personal appearance and hygiene: How does she present herself with regard to deportment, grooming, personal hygiene and general health? Is she comfortable in uniform? Can she keep clean in a rustic camp situation (i.e. when using porta-potties, sponge baths, solar shower)?

______

6. What specific qualities make this applicant a suitable person for this camp/event? Does she have any outstanding personality traits or skills that would enhance the experience she and others would have at the event/camp?

______

7. Do you FULLY recommend this applicant for this camp/event? Give specific reasons for your answer.

Yes: ______

No: ______

PLEASE RETURN THIS COMPLETED FORM TO THE APPLICANT IN A SEALED ENVELOPE WITH YOUR SIGNATURE ACROSS THE SEALED FLAP.

Signature: ______Date: ______

Thank you for taking the time to fill out this form.

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