1. hobbies and interests
2. games
3. lottery

The Corporation of the Municipality of Leamington
2015 Summer Student Lottery Program
Information and Receipt
Read this document carefully
The Corporation of the Municipality of Leamington hires students to work from May to September.
Applications will be available on our website at www.leamington.ca or at the Municipal Building starting
Friday, December 19, 2014. Only one application may be submitted per person.
Applications are to be submitted by 4:00 PM on Friday, February 27, 2015 in person to 111 Erie Street
North, Leamington, Ontario. Applications by fax or e-mail will not be accepted.
How the Program works: Once an application is submitted, a receipt with a lottery number is given to
the applicant. All numbers given will be entered into an electronic lottery system and drawn at random.
Please note: The lottery draw results only dictates order for the interview process. It does not guarantee
employment. Candidate selection may be subject to experience, qualifications, field of study and police
clearances. Candidates who are contacted will be subject to an interview process. Only successful
candidates will be offered employment.
Eligibility Requirements: (Applicants must meet the following qualifications):

Must be a resident of the Municipality of Leamington. (Exception for Lifeguards/Swim
Instructors). Proof of residency will be required upon hire.

Must be at least 16 years of age by May 1, 2015

Must be in full-time attendance at a Secondary School, University or College recognized by the
Ontario Ministry of Education from January – April 2015 and returning to school September
2015. (Full-time attendance requires enrolment in at least three courses within a school term).

Students previously employed as a summer student by the Municipality of Leamington must
apply to and be eligible for the lottery in 2015 otherwise you will not be reemployed.
(Successful reference from previous season is required).

Only three contact attempts will be made. It is your responsibility to ensure contact methods
are correct and that a message will be taken and returned.

You do not have a choice of work location or department. If you refuse a position you will not
be called again.

Evening and weekend work shifts will be required and you must be available for work. We
require students to work up to and including Labour Day (Monday September 1st, 2014). Some
students may be required to work part-time after September 1st, 2015.

Once hired, as a condition of employment, students shall provide at their own expense one pair
of safety shoes or boots. Work clothing worn must be in accordance with the standard set by
the Hiring Department.
Applicant Name:
Receipt Number:
This is your application receipt. This document is void if not stamped and initialed by staff. Retain this
document once you have submitted your application. If you are contacted for an interview you will be
required to provide this document.
HR Use Only: Stamp:
Initials:
Personal information provided is collected under the authority of the Municipal Act 2001, R.S.O. 2001, and will be used to determine eligibility for
employment. The Municipality of Leamington is an equal opportunity employer.
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The Corporation of the Municipality of Leamington
2015 Summer Student Lottery Program
List of Summer Student Lottery Program positions we employ:
(Please see our website for job descriptions and details on position qualifications and duties)
Kinsmen Recreation Complex:


Day Camp Counsellors
Lifeguards / Swim Instructors
Leamington Municipal Marina:

Dock Hands
Public Works:

Parks and Roads Outside Labourers
Water Services:

Outside Labourers
Pollution Control Centre:

Outside Labourers
Note: Positions are subject to budget approval. Students employed under this program will be subject
to all working conditions, rights and privileges applicable to students only. This is a onetime temporary
employment term and is not associated with full-time employment in the Corporation.
Items required upon hire: Students who are hired for the summer student lottery program will be
required to provide the following information upon hire for documentation purposes:
 Birth Certificate or Passport
 Driver’s Licence
 Proof of residency (documents other than Driver’s Licence may be required)
 Proof of full-time school attendance January to April 2015 (Must be from the School’s
Registrar’s Office)
 Social Insurance Card
 Void Cheque / Banking Information
 Satisfactory Police Clearance
Please note: The lottery draw results only dictates order for the interview process. It does not
guarantee employment. Candidate selection may be subject to experience, qualifications, field of
study and police clearances. Candidates who are contacted will be subject to an interview process.
Only successful candidates will be offered employment.
Personal information provided is collected under the authority of the Municipal Act 2001, R.S.O. 2001, and will be used to determine eligibility for
employment. The Municipality of Leamington is an equal opportunity employer.
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The Corporation of the Municipality of Leamington
2015 Summer Student Lottery Application Form
111 Erie Street North Leamingto, ON N8H 2Z9
Application Deadline: Friday February 27, 2015 no later than 4:00 pm
Office Use
Application Receipt Number
Date Received by HR
Applicant Information
Full Name:
Full Address:
Home Phone:
Alternate Phone:
E-mail Address:
Are you a Leamington Resident?
Yes
No
As of May 1, 2015 will you be 16 years of age?
Yes
No
What is your career goal?
Education
To qualify for the Student Lottery, as of January 1, 2015 you must be a full time student January to
April 2015. A signed copy of the Acknowledgement of Student Status must accompany this
application. Full-time attendance at school is defined as 3 or more courses per semester.
Are you a full-time student?
Yes
No
Yes
No
Level of Education
Year of Education
Are you returning to full-time school in
September 2015
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Availability
Date available to begin temporary full-time
employment:
Date available to begin temporary part-time
employment:
Our positions may require evening and
weekend shifts are you available during these
times?
Yes
No
Will you be available to work the Labour Day
weekend? (Including Labour Day)?
Yes
No
Will you be available to work part-time past
Labour Day weekend if required?
Yes
No
If yes, up until what date would you be
available to work part-time?
Position(s) Available
Select the position(s) you are interested in applying for: (See website for job descriptions)
Positions
Parks and Roads Labourer
Marina Dock Hand
Water Services Labourer
Pollution Control Centre Labourer
Day Camp Counselor
Lifeguard/Swim Instructor
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Experience
Select all that apply:
Clerical
Customer Service
Cash Handling
Lifeguard/Swim Instructing
Boating/Marine Radio
Construction/Trades
Equipment/Vehicle Operation
Horticulture/Landscaping
Child Care
HIGH FIVE Certified
First Aid Certificate
Other (Explain)
Qualifications
Do you have a current valid Ontario Driver's
Licence?
Yes
If yes, please select your current classification
G1
No
G2
G
Employment History
Have you been previously employed by The
Corporation of the Municipality of Leamington?
Yes
No
Previous/current employer?
Dates employed from:
Duties/responsibilities:
Reason for leaving?
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Previous employer?
Dates employed from:
Duties/responsibilities:
Reason for leaving?
Should the Corporation wish to verify and reference my employment, I hereby approve of this
requirement and authorize any previous employers to release to the Corporation any information
regarding my employment, as requested by the Corporation, and I further agree that no liability or
damage shall accrue to either the Corporation or previous employer(s) as consequence of this
release of information. I further authorize inquiries with police authorities and educational institutions
for verification where required under the qualifications of the said position. I certify that all of the
above statements made by me are true, with the full knowledge and understanding that if it is found
I have falsified this application, such application will constitute full and sufficient grounds for
disqualification of the lottery program and dismissal from the employ of The Corporation of the
Municipality of Leamington.
Signature:
Date:
Personal information on this form is collected under the authority of the Municipal Act, R.S.O. 2001
and will be used to determine eligibility for employment. Questions about this application and
collection of personal information should be directed to:
Human Resources
111 Erie Street North
Leamington, ON N8H 2Z9
519-326-5761 ext. 1112
Note: Summer Student Lottery Program results will be posted March 31st, 2015
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Acknowledgement of Student Status and Hiring Eligibility
I certify that I have read the terms and conditions for the Summer Student Lottery Program
employment with The Corporation of the Municipality of Leamington as outlined in the H00-Summer
Student Policy and that I meet the application eligibility requirements stipulated therein, namely:
- That I am a resident of the Municipality of Leamington
- That I am at least 16 years of age as of May 1st, 2015
- That I am currently registered registered as a full-time student January 2015 semester at a
secondary school, college or university, on a full-time basis, and will be a full-time student in
September 2015 as noted below.
Name of School:
Date Last in Attendance:
Name of School:
Start Date of Next Semester:
I understand that I will be required to provide proof of school enrolment as a condition of
employment.
Print Name:
Date:
Signature:
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