2022 Teen Summer Leadership Program Application

1
Your first & last nameTeen's Name as this form is to be completed by the teen interested in our leadership program.
First Name
Last Name
2
EmailYour own or a parent's who will share the information with you.
example@example.com
3
Phone NumberYour own or a parent who can hand the phone to you.
Area Code
Phone Number
4
Please enter your birthdate
Date
Month
Day
Year
5
Why do you want to work at Camp Wild Heart this summer?
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6
What is your experience working with kids?
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7
What are your favorite activities?
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8
Tell us a favorite summer memory from your childhood. How might you bring fun memories like that to Camp Wild Heart for our campers?
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9
Our Camp Director will contact you to schedule your interview time.
Wednesday, May 11th
Saturday, May 14th
I am not available either of these dates, please contact me for an alternative option.
10
By clicking the "accept" box below, I understand this program is not free and has a fee associated with it. Further, I understand that I will be scheduled for an interview to determine my eligibility to work as a Teen Leader for Camp Wild Heart* This field is required.
I accept
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