Girl Guides of Canada – BC Camping Committee

PROVINCIAL & INTERPROVINCIAL CAMP/EVENT APPLICATION

For Guides, Pathfinders and Rangers

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

Address: ______

City/Town: ______Postal Code: ______

Telephone number (including area code): ______

Email address (that is checked regularly): ______

Unit: ______

District: ______

Area: ______

Years in Guiding: Spark: Brownie: Guide: Pathfinder: Ranger:

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

Camp/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 (H.1)(
  • Girl Camping Record (BCC307)(
  • Code of Conduct()
  • Waiver (if applicable) (SG.5)(

Tell us a bit about your Guiding history.

As a Guide:

Wereyou a patrol leader? ______

Did you earn your Lady BP Pin? ______

Pertinent badges earned ______

Anything else you would like to share?

______

(line will allow multiple lines of text)

As a Pathfinder:

Did your unit have office(s)? ______

Did you hold any offices? ______

Did you earn your Canada Cord? ______

Did you earn your Citizenship Award? ______

Anything else you would like to share?

______

(line will allow multiple lines of text)

As a Ranger:

What challenges have you completed?

______

(line will allow multiple lines of text)

Did you earn your Commonwealth award? ______

Did you earn your Chief Commissioner’s award? ______

Anything else you would like to share?

______

(line will allow multiple lines of text)

Skills you feel you have: (hiking, biking, swimming, canoeing, kayaking, etc.)

______

(line will allow multiple lines of text)

List any other experiences or certificates that you have earned (either in or out of Guiding) that pertain to this camp/event? Canoeing, swimming, kayaking, caving, backpacking, etc.

______

(line will allow multiple lines of text)

Applicant’s letter: in your own words tell what you expect to contribute to this camp/event, to your host family (if applicable) and to the province you will visit. Also, what do you expect to gain from this camp/event? How do you feel you will be able to share your experiences with your unit and district?

(300 words or less).

______

(line will allow multiple lines of text)

Parental/Guardian permission and guarantee of financial responsibility

I hereby give permission for my daughter/ward ______to apply for the camp(s)/event(s) listed and to attend if selected. I give authority to the Responsible Guider to make any decisions with regards to the welfare and safety of my daughter/ward, as deemed necessary during the period of the home-stay (if applicable) and while traveling to and from the camp/event and during the camp/event itself.

I (we) accept full responsibility for all expenses (camp fee, transportation to and from camp, spending money, etc) incurred by the applicant in connection with this provincial/interprovincial camp/event.

Name of Parent/Guardian (please print clearly): ______

Signature(s): ______Relationship: ______

______Relationship: ______

Date: ______

In case of emergency please contact:

Name: ______

Phone number, please include area code (home): ______

(cell): ______other: ______

Relationship to attendee: ______

***************************************************************************

I agree to send a report of the camp/event to the Provincial Camping Committee upon my return home.

Applicant’s signature: ______

Applicant’s name (please print clearly: ______

****************************************************************************

Acknowledging Unit Guider’s signature: ______

Acknowledging Unit Guider’s name (please print clearly): ______

*****************************************************************************

APPLICATIONS MUST BE RECEIVED BEFORE THE DEADLINE DATE


Girl Guides of Canada – BC Camping Committee

GUIDER REFERENCE FORM for Girl Applicant

To be completed by applicant prior to giving to personwriting 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: ______

(line will allow multiple lines of text)

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

Guider’s name: ______

Guider’s position: ______

Guider: The applicant asks 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, particularly at camp, are important for the selection process.


Reference Form –Guider

(PLEASE DO NOT MENTION CANDIDATE’S NAMEON THIS PAGE)

  1. How long have you known the applicant and in what capacity?

______

(line will allow multiple lines of text)

  1. Personal Appearance & Hygiene: what overall impression does the applicant give? How does she feel about wearing her uniform?

______

(line will allow multiple lines of text)

  1. Care of Camp and Personal Equipment: How does the applicant demonstrate responsibility for camp equipment (tents, stoves, patrol equipment etc.) and her own and others personal belongings?

______

(line will allow multiple lines of text)

  1. Social and Emotional Maturity: Comment on the applicant’s courtesy, tolerance, adaptability, poise, capability, expression of thought, awareness and sincerity.

______

(line will allow multiple lines of text)

  1. Relationships:Describe the applicant’s relationship with Guiders and girls at camp.

______

(line will allow multiple lines of text)

  1. Adaptability:How does the applicant adapt to difficult or different camping conditions, including unexpected changes in plans or stressful situations?

______

(line will allow multiple lines of text)

  1. Camping skills:What specific camping skills does the applicant possess?

______

(line will allow multiple lines of text)

8.What specific qualities make this applicant a suitable person for this event? Does she have any outstanding personality traits or skills, camping or other, which would enhance the experience she and others would have at this camp/event? ______

(line will allow multiple lines of text)

9.Please provide any additional comments that will help the selection committee decide whether or not this applicant is ready and prepared to attend this camp/event.

______

(line will allow multiple lines of text)

10.Do you fully recommend this candidate for this camp/event? 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

NON-GUIDING REFERENCE FORM for Girl Applicant

To be completed by applicant prior to giving to personwriting 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: ______

(line will allow multiple lines of text)

Person who has been asked to write this reference:

Name: ______

How do you know this applicant?______

For how long? ______

Reference writer: The applicant asks 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 NAMEON THIS PAGE)

  1. Personal Appearance & Hygiene: what overall impression does the applicant give?

______

(line will allow multiple lines of text)

  1. Care of Camp and Personal Equipment: How does the applicant demonstrate responsibility her own and others personal belongings?

______

(line will allow multiple lines of text)

  1. Social and Emotional Maturity: Comment on the applicant’s courtesy, tolerance, adaptability, poise, capability, expression of thought, awareness and sincerity.

______

(line will allow multiple lines of text)

  1. Relationships: Describe the applicant’s relationship with adults and her peers.

______

(line will allow multiple lines of text)

  1. Adaptability: How does the applicant adapt to difficult or different conditions, including unexpected changes in plans or stressful situations?

______

(line will allow multiple lines of text)

  1. What specific qualities make this applicant a suitable person for this event? Does she have any
    outstanding personality traits which would enhance the experience she and others would have at this camp/event? ______
  1. Please provide any additional comments that will help the selection committee decide whether or not this applicant is ready and prepared to attend this camp/event.

______

(line will allow multiple lines of text)

  1. Do you fully recommend this candidate for this camp/event? 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.

1.