Counselor in Training Application
2016-2017
First and Last Name *
Your answer
Summer Address *
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Your answer
Position Desired *
Age Group Desired *
Camp Runs for 7 weeks June 26th-August 11th. Can you work all 7 weeks? *
Please Select the FULL weeks you can work. *
Required
Are you Life Guard or CPR certified? *
List any other certifications you might have
Your answer
Please list two references. Please include their name, their phone number, and their relationship to you. *
Your answer
Any other information you feel is important for us to consider. *
Your answer
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