2008   Programme Application   


# - mandatory fields

I. PERSONAL INFORMATION

This information is for your visa. Use the details from your international passport.

Country of your interview:   #

First Name:   #
Middle Name:    
Last Name:   #
Other Names:    
Gender: 
 Male        Female
#
Date of Birth: 
   
#
City of Birth:   #
Country of Birth:  #
Country of Citizenship:  #
Country of Legal Permanent Residence:  #
Street/Apartment:   #
Town/City:   #
Post/City Code:   #
Country:  #
Phone Number:    
Mobile Number:    
Email:    
Height (ft/in):   #
Weight (lbs):   #
Marriage Status: 
 Married        Unmarried
#
Driver License: 
 Yes        No
#
Smoker: 
 Yes        No
#
II. EDUCATION
Are you currently a full-time student?: 
 Yes        No
#
Will you be a full-time student in October 2008?: 
 Yes        No
#
If Yes   List year of study:  
Name of College:  
Length of course/study years:  
Name of Faculty:  
Department:  
Others:  
 
III. EMPLOYMENT
Are you employed in your home country?:        Yes        No
#
If Yes  
 Full-time        Part-time        Voluntary
Current employment:  
If No   Previous employment:  
 
Note: If you are not employed full-time or a full-time student you must provide evidence of reason to return in order to apply for the J-1 visa.  
Preference for a specific U.S. employer (only to be completed by those without a verifiable job offer at time of application - SWT Self-Arranged Job Option only):  
Company name:    
Hiring manager's name:    
Phone:    
Fax:    
E-mail:    
Have you participated in an exchange programme in the past?:        Yes        No
 
If Yes   Agency/sponsor:  
Year(s):  
Recent employer in the U.S.:  
Contact name:  
Phone:  
 
IV. SKILLS - COUNSELLOR APPLICANTS ONLY
Complete this section ONLY if you are applying for a Specialized Camp Counsellor position.  
Please complete the following chart, indicating your highest level of camp activity qualification and experience:  
My best camp activities and/or skills are: I am certified to teach or coach: Year of certification I could teach or coach: I could assist: Copy of award enclosed?
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 Yes    No
 
(Note: The inclusion of any sport/activity in this list doeas not imply that you will be hired to teach/coach that activity on camp. However, if you do hold a teaching or coaching qualification that is internationally recognized, you should contact your Camp Director to discuss your position responsibilities and if you are eligible to receive the Qualified Status Bonus of up to $500).  
Please detail your experiences in the skills listed above (When and where you gained your experience and the ages of people taught/coached):  
 
Please provide details (including dates) of your experience with children (e.g. youth clubs, community programmes, play schemes, etc.) and include any leadership roles and ages of children you have worked with:  
 
With which age group do you have the most experience?:        under 5yrs        6-10yrs        11-14yrs        15+yrs
 
Please list any unique skills you may have (cirkus skills, story-telling, face painting, etc.):  
 
Do you have a swimming, life-guard or life-saving award?:        Yes        No
 
If yes, please list below any awards that were gained after the age of 16:  
Certificate/Award Date Issued Expiry Date Level/Grade Copy Enclosed?
 Yes    No
 Yes    No
Note: To be considered for a waterfront position, certificates/awards must be current and you must have provide proof of certification prior to arriving at your camp.  
If you are applying for a Special Needs Counsellor position, please complete the section below in addition to the section above:  
Do you have experience working with people with disabilities?:        Yes        No
 
Would you consider working at a camp for mentally and/or physically challenged adults and or teenagers?:        Yes        No
 
AWE works with selected high-quality Special Needs camps. There is a large demand for staff at these camps and whilst some camps require previous experience, others will determine your suitability from the information you supply and possibly an additional interview. As a special needs counsellor, your duties would include caring for the guest's personal (children and/or adults) needs (feeding, bathing and toileting), in addition to assistance with sports and other camp activities. If you are willing to work on a Special Needs camp, please use the space below to tell us why you would be suited to such work, detailing any previous experience working specifically with people with special needs. (Note: AWE will not place you on a Special Needs camp without your consent.)  
 
V. SKILLS - SWT AND CAMP SUPPORT APPLICANTS ONLY
Complete this section ONLY if you are applying for a Summer Work Travel or Camp Support Staff position.  
Please tick the position below in which you have experience (E) and those in which you are willing (W) to work.  
   E  W      E  W
Cook   Guest Services
Assistant Cook   Cash Handling
Food Preparation   Secretarial/Office
Waiter/Waitress   Security
Dishwashing   Auto Mechanics
Maintenance   Driver
Painting   Theme Park Worker
Landscaping   Children's Host
Cabin/Room Cleaning   Shop Assistant
Janitorial   Pool Cleaner
Laundry   Life Guard
Reception Duties  
Other  
Adaptability and flexibility are important qualities employers seek. Are you willing to work in any area?:        Yes        No
 
If No, in which areas are you not willing to work?:    
Please list previous employment below, starting with your most recent job:  
Type of employment (part/full-time, paid/unpaid) Dates of employment Position/job title Main activities and/or duties Reference Enclosed?
 Yes    No
 Yes    No
 Yes    No
 Yes    No
Note: All SWT and Support Staff applicants must have previous full