Counselor in Training Application
2016-2017
First and Last Name
Your answer
Summer Address
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Email Address
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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.
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Any other information you feel is important for us to consider.
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