Counselor Application Form

2022 Cuno and Camp BGC Camp Counselor Application

Complete the form below to apply for a Counselor position at Cuno Camp or Camp BGC.
Personal Information
Name *

First Name Last Name
E-mail *
Phone Number: *

Area Code Phone Number
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Gender: *

Female Male
Emergency Contact Information
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
2nd Phone Number

Area Code Phone Number
Relationship: *
Additional Information
Are you over 18? *

Yes No
If you are a college student please check your currently/nearly completed year. *

Freshman/1st year Sophmore/2nd year Junior/3rd Year Senior/4th Year Graduated
If yes, what school are you attending?
If yes, what is your major?
Which Camp are you applying for? *
Did you ever attend any Boys & Girls Club activities or programs as a member? *

Cuno Camp Camp BGC/Safe Haven Club Sports League Club Art or Technology Program Never attended a Club Program
Have you worked for the Club before? *

Yes No
If you worked for the Club in the past in what capacity?
Which areas have you participated in/ have knowledge about and would be willing to teach to youth?

Sports/gym classes Nature (hiking, fishing, etc.) Performing arts (dance, drama, etc.) Arts & Crafts Science/STEM Boating/Kayaking Challenge/Ropes Course
Cerfitications
Please check off any certifications you currently have.

First Aid CPR A.E.D. Archery/Riflery Boating/Kayaking Challenge/Ropes Course Life Guard/Water Safety
Availability
- Only check off the weeks you are 100% sure you can work. Additional weeks may be able to be added later on during the summer if availabile.
Type a question

June 13-17 June 20-24 June 27-July 1 July 5-8 July 11-15 July 18-22 July 25-29 August 1-5 August 8-12 August 15-19
*

I understand that by checking off a week I agree to be available as an employee for camp that entire week. If you have any questions contact Krystle at 203-235-8185 or kblake@bgcmeriden.org.
References
Name

First Name Last Name
Relationship
Email
Phone #
Name

First Name Last Name
Relationship
Email
Phone #
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2022 Cuno and Camp BGC Camp Counselor Application

Personal Information

Emergency Contact Information

Additional Information

Cerfitications

Availability

References