SEED SONG FARM & CENTER

SEED SONG FARM & CENTER
Counselor in Training Application

For Seed Song Center's Summer Camp 2025

For ages 12-17
Name of Applicant *

First NameLast Name
Age of Applicant*
Date of birth*

MonthDayYear
Date
Address*
Name of Parent*
Parent's Email Address*
example@example.com
Parent's Phone Number*
Describe some of your current hobbies & interests*
Have you participated in any extra curricular school, team or club activities? Tell us about them below*
Do you have previous experience working with, babysitting or spending time with children?*
What makes you a good role model?*
Describe your relationship with nature and the outdoors*
Please select ALL weeks that you are available. Camp runs on Monday-Friday* from 9 AM- 3 PM.*

Week 1: June 30-July 4Week 2: July 7-11Week 3: July 14-18Week 4: July 21-25Week 5: July 28-Aug 1Week 6: August 4-8Week 7: August 11-15Week 8: August 18-22Week 9: August 25-29
Applicant signature*

Clear
Parent signature *

Clear
Thank you for your interest in our counselor-in-training program. Our education staff will follow up with your application & be in touch with you.
Should be Empty: