Cispus Counselor Candidate Information

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Email *

First Name *

Last Name *

Grade *

What year are you in school?

Senior

Junior

Sophomore

Freshman

Gender *

Male

Female

Other

Other:

What grade school did you attend? *

Lincoln

McLane

LP Brown

Madison

Other:

Your 5th Grade Teacher's Name *

Do you have a preference of a grade school or teacher you would like to be teamed up with? *

LP Brown

Madison

McLane

Lincoln

Other:

What is your biggest concern about being a camp counselor and training you feel you need to be best prepared to work with 5th graders? *

Returning Counselor *

Have you been a Cispus Outdoor School Counselor before for Capital High School?

Yes

Other:

Cabin Neighbor Counselor Request *

We will work in teams and some cabins will have two counselors. Which counselor would you like placed in the cabin next to you or in the same cabin with you? We will try an honor these requests, but cannot guarantee your placement request. If you have no preference please leave it blank.

What ice breaker do you plan to use? *

Pick one form the list from Cispus schedule or use your own idea and write it in below. The more we plan ahead the better prepared we are at camp.

What skit are you planning to do? *

Pick one from Where the Shadows Fall book

Would you like to be a Photographer at camp? *

I will need at least some counselors to be photographers at camp. This means you will not be with your group during instructional time in the morning and afternoon. Instead you will take pictures of different class groups during instructional time. It also means you will carry a camera with you most of the camp session.

Yes

Other:

CPR / First Aid Session-Saturday, Feb 7th *

Location: Knox 111, Board Room.Address: 111 Bethel St NE, Olympia 98506

Saturday AM Class (9am)

Saturday PM Class (12pm)

Have current card (CPR - AND - First Aid) or have been trained in the last 2 years (and can provide proof)

Option 4

Other:

Do you request vegan/vegetarian food at camp?

Once at camp you cannot declare a need for vegetarian food. The food needs are calculated far in advance of our camp session.

Vegetarian

Vegan

Gluten Free

Dairy Free

Other:

Do you have any allergies?

If yes, fill in the blank below with the allergy information

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