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9
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1
Are you a:
New Applicant
Returning Applicant
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2
What position are you interested in coming back?
Choose one or more if applicable.
Cabin Counselor
Head Counselor
Servant Staff
Poiema Counselor
Water Front Coordinator
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3
What position are you interested in?
Choose one or more if applicable.
Cabin Counselor
Water Front Coordinator
Camp Nurse / Nurses Aid
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4
Full (Legal) Name
*
This field is required.
First Name
Last Name
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5
Email
*
This field is required.
example@example.com
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6
Phone Number
*
This field is required.
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7
Gender
*
This field is required.
Female
Male
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8
High School Graduation Year
*
This field is required.
(YYYY)
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9
Preferred contact:
You can select more than one.
Email
Call
Text
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