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G.I.R.L.S. Power Camp Facilitator Questionnaire
Josef Stevens
2022-09-16T12:14:46-04:00
G.I.R.L.S. Power Camp Facilitator Questionnaire
Name
(Required)
First
Last
Pronouns (optional)
Age
(Required)
Birth Date
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
(Required)
Email
(Required)
Social Media Handles
Click the plus sign to add more rows
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Health Card Number
(Required)
School (if applicable)
Work (if applicable)
Emergency Contact Name
(Required)
First
Last
Emergency Contact Phone
(Required)
Allergies and/or Medical Concerns
Have you attended camp as a grade 8 camper?
(Required)
Yes
No
Have you been a facilitator at G.I.R.L.S. Power Camp before?
(Required)
Yes
No
How did you hear about becoming a facilitator with our program?
(Required)
What experience do you have, if any, working with children and youth?
(Required)
Why do you want to be a G.I.R.L.S. Power Camp facilitator?
(Required)
Are you comfortable leading a small group of campers? (4-6 girls)
(Required)
Yes
Maybe
No
Are you comfortable leading a small or large group discussion?
(Required)
Yes
Maybe
No
Is there anything that may interfere with your participation in camp or ability to facilitate?
(Required)
Is there any additional information you’d like to share with us?
There is a mandatory training date on Sunday, March 30, 2025 from 9AM to 4 PM. Will you be able to attend?
(Required)
Yes
No
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Do you need transportation? (OLD)
Yes
No
Do you consent to having your picture and/or videos taken at training and camp?
(Required)
Yes
No
Can these pictures be used on social media or for promotional purposes?
(Required)
Yes
No
Acknowledgement
(Required)
I consent to the use of this information to be considered for a volunteer facilitator with G.I.R.L.S. Power Camp and agree that all the information is correct and true to the best of my abilities.
I agree
Email
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