Camp Counselor ( Ages 15-17 Only )
Must be at least 15 years old with a work permit. Please note, there will be three mandatory trainings prior to the start of camp. Interviews will take place starting March 28th.
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
What highschool do you currently attend?
*
What grade will you be in in the fall?
*
Please Select
10th grade
11th grade
12th grade
Can you swim?
*
Please Select
Yes
No
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Are you a US citizen?
*
Please Select
Yes
No
What is/are your area(s) of expertise? ( ex: art, soccer, technology, lacrosse )
*
Please indicate the days you are available to work Monday through Friday.
*
Monday
Tuesday
Wednesday
Thursday
Friday
What hours on those day(s) are you available to work?
*
8:00-9:00
9:00-10:00
10:00-11:00
11:00-12:00
1:00-2:00
2:00-3:00
3:00-4:00
Please indicate what weeks you are NOT available to work.
*
June 9th-June 13th
June 16th - June 20th
June 23rd-June 27th
June 30th- July 3rd
July 7th- July 11th
July 14th- July 18th
July 21st - July 25th
July 28th-Aug 1st
Why do you believe you are qualified to be a Summer Camp Counselor? Please highlight any relevant experience, skills, and personal qualities that would make you an excellent role model and guide for children in a camp setting.
*
Reference 1:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Reference 2:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Reference 3:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Yes I understand that I will need a workers permit to work at the camp.
*
Yes
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Submit
Should be Empty: