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Junior Leader Development
Program Application Form

Instructions: Complete this application, then print off this form, sign, and mail, or deliver, it to:

Junior Leader Development Program
Butterfield Acres
254077 Rocky Ridge Road
Calgary, T3R 1A6

Tell us about yourself!

Your First Name:   Last Name:

Gender:  
 

Birthday:  Month Day   Year Current age: 

Snailmail Address: 

City:    Postal Code:  

Phone:
  
Home.  Cell:    

Your E-mail address:  

Best way(s) to contact you??

Parent #1:
Name: Cell Work Home :

Parent #1 E-mail address: 

Parent #2:
Name:
Cell Work Home :

Parent # 2 E-mail address:

Best parent to contact about your involvement in this program:   
 



When/what involvement appeals to you?

(Please "check" all the appropriate boxes)


Spring:
Saturdays

Sundays
Holidays
unavailable days/times, if any :


Easter Hunts & Petting Zoos :
some weekday evenings
Saturdays
Sundays
Good Friday, specifically
Easter Sunday, specifically
unavailable days/times, if any :

Summer :

Stampede week Petting zoos
Saturdays
Sundays
weekdays
Day Camps
unavailable days/times, if any :


Fall:
Saturdays

Sundays
Holidays

unavailable days/times, if any :


October Pumpkin Hunts :
Saturdays

Sundays
Holidays

unavailable days/times, if any :


Do you have any behaviour and/or health issues
we should be aware of:
(please include peanut allergies, ADHD, etc)





Names and phone numbers of 2 character references whom we may call:

Reference #1 Name Cell #
Home # Business #

Reference #2 Name Cell #
Home # Business #




Why you would like the join the Junior Leader Development Program?





Tell us about any previous 'work' type experiences (paid or volunteer) you've had.



Do you have any special hobbies, sports or interests? Are you on any teams, ever entered the Science Fair, etc



Have you received any special awards or achievements at school? If so, what were they for, how did you earn them, when did you receive them, etc.





Parent/Guardian Approval, Release Form, Acknowledgement of Risk

I have read, understand and ACCEPT the terms listed above


Parent #1 Signature ________________________________________ Date___________________

Parent #1 Name printed:


Parent #2 Signature ________________________________________
Date___________________

Parent #2 Name printed:

PLEASE PRINT OFF THIS FORM, PARENTS SIGN ABOVE,
THEN MAIL,
or bring it to

Butterfield Acres
254077 Rocky Ridge Road
Calgary, T3R 1A6
Attention: Junior Leader Development Program

The next step: The big interview! As positions in the program become available, we call selected candidates in for an interview. Applications are kept on file for 1 year. Most of our new openings occur during spring and summer each year.

Thank you for your application!

or if you need to start over you may



Photo - Bunny

Please explore the Butterfield Acres Web Site (Home Page) and feel free to contact us with any comments or questions!! FarmFun@ButterfieldAcres.com