Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What Position are you Applying for?
Please Select
Lead Counselor
All Summer Assistant Counselor
Activity Specialist
Marketing Assistant
Administrative Assistant
Half Summer
Volunteer
T-shirt Size
*
Please Select
Small
Medium
Large
XL
2XL
3XL
Other
Birthday:
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
What Year are you completing in School this year?
*
Please Select
9th
10th
11th
12th
Freshman (College)
Sophmore (College)
Junior (College)
Senior (College)
Not in School
Submit
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