NL Interprovincial Camp 2019

Steering Committee Application Form

PART A. Personal Information

Name: / iMIS #:
Full Address:
Birth Date: / Phone: / Cell:
mm-dd-yyyy / 888-888-8888 / 888-888-8888
Email:
Guiding Area / # of years in Guiding:

PART B. Participant Agreement

I understand that by submitting this application and if selected, GGC NL Council will be making a significant contribution for my participation in this event. In light of that:

a)I will prepare for this interprovincial experience as required

b)I will positively represent Girl Guides of Canada NL Council to all persons I meet throughout this experience.

c)I understand that I will be expected to share my experiences within GGC NL Council, as may be further specified, upon my return.

d)I agree to be an active member of GGC for a minimum of one year following the trip.

e)I agree to adhere to the roles and responsibilities as guided by the GGC Code of Conduct.

Applicant’s Name:
Applicant’s Signature: / Date:
mm-dd-yyyy

PART C. Guarantee of Financial Responsibility

I understand that I am required to cover any incidental costs that occur over and above the trip fees covered by the Girl Guides of Canada, NL Council. I guarantee financial responsibility over and above that provided by Girl Guides of Canada, NL Council. I understand that I am not permitted to fundraise to cover these costs.

Applicant’s Name:
Applicant’s Signature: / Date:
mm-dd-yyyy

PART D. References
Please provide the name and contact information for your references.

Within Guiding
Name:
Phone: / Email:
888-888-8888
Outside of Guiding
Name:
Phone: / Email:
888-888-8888

We protect and respect your privacy. Your personal information is used only for the purposes stated on or indicated by the form. For complete details, see our Privacy Statement at or contact the Provincial office for a copy.

PART E. Self-Evaluation

Please provide examples of how you have demonstrated each quality or skill using 75 words or less.

Describe your experience and skills related to the Steering Committee position you have applied for.
What personal attributes make you a good candidate for the position you are applying for?
Describe your conflict resolution skills.
What was your most positive camp experience?
Describe how you think you will function, living in a tent in a crowded camp situation with limited facilities
Describe the largest camp/event you have been to
What do you think you will find the most challenging?
What is the longest number of consecutive nights in a tent
What is the most difficult situation that you have experienced at camp?
What is the highest level of OAL (Outdoor Activity Leadership) training you have completed?

PARTF. Relevant Experience

1. Do you have experience supervising a group of adults in a Guiding or non-Guiding setting? / ☐ YES ☐ NO
If yes, please describe, below.
2. Do you have experience in a lead position with this type of committee before? / ☐ YES ☐ NO
If yes, please list relevant and recent Guiding or non-Guiding experience(s) below, in order of length, beginning with the longest.
Event:
Your Responsibility:
Date:
Length of Event (days): / Group Size:
Event:
Your Responsibility:
Dates:
Length of Event (days): / Group Size:
Event:
Your Responsibility:
Dates:
Length of Event (days): / Group Size:
3. Do you meet all of the physical requirements listed in the position description for thejob you are applying for?
(e.g. ability to hike, swim, etc.) / ☐ YES ☐ NO
If yes, please describe, below.
What types of camps have you attended? Were they residential or tenting?
What is the length of the longest camp you attended? Was it residential or tenting?
What specialized skills have you gained from camps you attended?
Do you understand and agree with the requirement for all staff to assist with additional assignments as needed?

PARTG. Trip Interest

In 600 words or less, explain:

  • Why this position in particular interests you
  • What specific knowledge and skills you would bring to the Steering Committee which would make you am asset to this committee
  • What you expect to learn from this experience
  • How you can use the experience to enhance the Guiding program

Please do not submit resumes or copies of certificates, diplomas, pictures, graphics, etc.

Use a separate sheet if necessary

PART H. Submitting your application

Completed applications are due to Provincial Office no later than April 27, 2018.

Email:

Fax: 709-726-4045

Mail or in-person: 63 Roosevelt Ave, St. John’s NL A1A0E8

Any questions regarding the camp or application process may be directed to
Responsible Guider, Jackie Perry, at

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