Counsellor Application Form

Core Information

Counsellor's Name *

First

Last

ԱՆՈՒՆԸ ԵՒ ՄԱԿԱՆՈՒՆԸ ՀԱՅԵՐԷՆՈՎ - Full Name in Armenian

Gender *

Date of Birth *

Counsellor's Email *

Confirm Email

Counsellor's Phone *

Home Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

T-shirt Size *

Parental Information

Father's Name *

First

Last

Mother's Name *

First

Last

Father's Email *

Confirm Email

Mother's Email *

Confirm Email

Medical Start First-Aid/CPR

Father's Phone

Mother's Phone

Which parent can we reach while you are at camp? *

Emergency Medical Information

In case of emergency, physical health card should be available to be shared with the Camp Nurse via phone.

Emergency Contact Full Name *

Emergency Contact Relationship *

Emergency Contact Phone *

Family Physician Full Name *

Health Card # *

Family Physician's Phone *

Date of Last Completed Medical Examination *

Date of Last Completed Tetanus Immunization *

Do you have any allergies or sensitivities? *

No, I don't have any allergies/sensitivities.
Yes, I have allergies/sensitivities.

Education

School 1 *

Program 1 *

Start Date 1 *

End Date 1 *

School 2

Program 2

Start Date 2

End Date 2

Work Experience

Organization/Company 1

Organization/Company 2

References

Please provide the names and contact information of individuals (not relatives) who can attest to your character, experience, and abilities.

Reference 1 Full Name *

Reference 1 Relationship *

Reference 1 Email *

Reference 1 Phone

Reference 2 Full Name *

Reference 2 Relationship *

Reference 2 Email *

Reference 2 Phone

Involvement & Experiences

Name of Previous Camp Experience 1

Name of Previous Camp Experience 2

# Years at Camp Ararat: Camper *

Camper

# Years at Camp Ararat: CIT *

CIT

# Years at Camp Ararat: Counsellor *

Counsellor

Describe your involvement in your community and volunteering (e.g., sports, school, church, camp, other, etc.). *

What contributions are you excited to bring to Camp Ararat? *

Please list your hobbies and interests. *

Please select all certifications you currently hold:

How will you travel to camp? *

What city will you depart from? *

How will you travel back from camp? *

What city will you return to? *

Propose a new original camp-wide activity. Include thorough details and don't forget to be creative! *

Consider the camp-wide activity to include 125-150 participants. Please consider materials, the number of people needed to run the activity, and a backup plan in case it rains. You may use the CITs and Counsellors as you wish.

Agreements & Confirmations

Please confirm your attendance (either physically or virtually) for the following counsellor training sessions/fundraising activities:

Meeting #1 (Interactive Theory): Sunday, June 28, 2026 (4:00PM - 7:00PM)
Meeting #2 (CPR Training): Saturday, July 4, 2026 (9:30AM - 3:00PM)
Meeting #3 (Team Building): Sunday, July 19, 2026 (2:00PM - 4:00PM)
Meeting #4 (Virtual Session): Tuesday, August 11, 2026 (7:30PM - 9:00PM)

Volunteer Terms Acknowledgement *

I authorize investigation of all statements herein and release Camp Ararat and the Diocese of the Armenian Church of Canada from any liability. I understand that, if accepted, I will be a volunteer and receive no financial compensation for the work performed and that any agreement to the contrary must be in writing and signed by the Camp Ararat camp director. I also understand that untrue or omitted information may result in dismissal.

Medical Consent & Liability Acknowledgment *

By submitting this application, I confirm that I have sought competent advice regarding my health and well-being prior to completing this form. I agree to release the Armenian Holy Apostolic Church Canadian Diocese, Camp Ararat, and its medical staff, counsellors, and supervisors of any liabilities. In the event of an emergency, medical or hospital services may be required. I understand that every reasonable effort will be made by Camp Ararat and the hospital services to contact the listed emergency contact. I authorize medical personnel and/or hospital staff to administer any necessary medical or surgical services to me, including the use of anesthesia and medications. I understand that any costs related to such medical treatment are my responsibility.

Code of Conduct & Policy Acknowledgement *

By submitting this application, I confirm that I have read the Code of Conduct, the Freedom of Information and Protection of Privacy Act, and the Waiver and Release of Liability Agreement (available at www.campararat.ca/code-of-conduct-privacy-waiver/) and agree to their terms and conditions.

Cedar Ridge Camp in McArthurs Mills, Ontario

Saturday, August 15, 2026 – Saturday, August 22, 2026

Core Information

Parental Information

Emergency Medical Information

Education

Work Experience

References

Involvement & Experiences

Camp Preferences

Agreements & Confirmations