Camp Counselor ( Ages 14-17 Only )
Must be at least 14 years old with a work permit. Please note, there will be three mandatory trainings prior to the start of camp. Please note that there are 24 hours of training required prior to the start of camp, most of which will be held on Sundays in the afternoon.
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.
Format: (000) 000-0000.
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 any days you are unable to work this summer.
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.
Format: (000) 000-0000.
Email
*
example@example.com
Reference 2:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Reference 3:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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.
Format: (000) 000-0000.
Submit
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