Seasonal Staff Application Form

Applicant Information

Your Name (required)	Address (required)
City (required)	Postal Code (required)
Home telephone	Cell phone
Other telephone	Email address (required) (Note: Candidates selected for interviews will be contacted by email.)

Positions Applied For

Position	Apply?
Crew Member (Dalewood/St. Thomas) – Job Description	YesNo
Crew Member (Lake Whittaker/Harrietsville) – Job Description	YesNo
Crew Member (Significant Areas Administration Centre/St Thomas) – Job Description	YesNo
Grass Cutter (Administration Centre/St. Thomas) – Job Description	YesNo
Lifeguard – Job Description	YesNo
Pool Attendant – Job Description	YesNo

Are you applying for:

Seasonal Full-time hours (up to 37.5hrs per week)

YesNo

Seasonal Part-time hours (up to 20 hrs +/- per week)

YesNo

Seasonal Flexible hours (as needed or on call basis)

YesNo

Qualifications/Certifications

1. Have you ever been employed with KCCA?	YesNo
2. Are you available to work from May 1st to the Labour Day weekend (Sept)?	YesNo
3. Are you available to work weekends, nights and statutory holidays?	YesNo
4. Do you have a valid G or G2 Class driver’s license?	YesNo
5. Do you have reliable daily transportation to and from the workplace?	YesNo
6. Are you willing to clean washrooms as part of your daily responsibilities?	YesNo
7. Are you willing to work in inclement weather (ie. rain, wind, cold, etc…)?	YesNo
8. Do you have your NLS? (Lifeguards only)	YesNo
9. Do you have your Emergency First Aid AED/CPR-C?	YesNo
10. Indicate any other certifications/training that you may have that are relevant to the position(s). (Examples may include lifeguard certification, First Aid, CPR or other health and safety training or a relevant course such as tree identification etc.)

Education and Experience

Educational Institution:
Program of Study:
Years/Level Completed:
Year of Completion or Anticipated Completion:

Relevant Experience

Crew members are expected to work as part of a team and may be required to share in all aspects of facility operations including cash handling, safety, maintenance, visitor services and monitoring for adherence to KCCA’s Rules and Regulations. Please share relevant experience in each of the following categories. Remember where possible to relate your experience to a specific work, volunteer or life experience (skills learned at home). If you do not posses a skill please indicate your willingness to learn.
(Point form preferred).

Experience in maintenance activities such as: operating hand tools, equipment, lawnmowers, 4×4 vehicles, golf carts and ATV’s.

Skills related to customer service, communication skills and conflict resolution.

Skills working independently and in a team setting.

Experience in making change, balancing a till, reconciling fees and operating POS (point of sale) machines.

Skills in cleaning facilities, including washrooms and showers.

Skills working around a pool, such as pool maintenance & cleaning, chemistry testing, or lifeguarding.

Work Experience

Previous employer	Responsibilities	Dates Employed
Name: Location: Job Title:	Responsibilities: Developed Skills:	Start Date (yyyy-mm-dd): End date (yyyy-mm-dd):
Name: Location: Job Title:	Responsibilities: Developed Skills:	Start Date (yyyy-mm-dd): End date (yyyy-mm-dd):
Name: Location: Job Title:	Responsibilities: Developed Skills:	Start Date (yyyy-mm-dd): End date (yyyy-mm-dd):

References

References are required – Minimum of two (2). Professional references preferred.

Name of Reference	Relationship to this person	Email	Phone



Do you approve KCCA contacting the persons listed above, including previous employers, for the purposes of obtaining reference information?		YesNo

Declaration: (read carefully before submitting application)

By submitting this application form to KCCA for consideration of seasonal employment I certify that I acknowledge and understand the following declarations.

I am available to work for the period of employment indicated in the job descriptions of the positions for which I have applied (May 1 to Labour Day Weekend in September).

I understand and agree that the information given on this application is true to the best of my knowledge, and any misrepresentation made by me may disqualify me from employment, or cause my dismissal.

I understand that applications will only be accepted and retained for advertised competitions and only those granted interviews will be contacted.

Personal information in relation to the recruitment process is collected under the authority outlined in the Municipal Freedom of Information and Protection of Privacy Act and used solely to determine eligibility for employment with the Kettle Creek Conservation Authority.