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ACT CIT Application
Thank you so much for your interest in becoming a Counselor in Training for ACT! We can't wait to read your responses and will be in touch shortly. Please check your email in the coming days for a message about a Zoom interview.
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Name and pronouns: (i.e. she/her)
Your answer
Phone Number
Your answer
Please check all of the sessions you are available: (Camp day is 7:30-3:30 at Burgundy Farm school, 8:30 - 3:30 at Grace Episcopal school.)
June 20 - June 24
June 27 - July 1
July 5 - July 8
July 11 - July 15
July 18 - July 22
July 25 - July 29
August 1 - August 5
August 8 - August 12
Please write one or two sentences explaining why you are interested in this opportunity.
*
Your answer
Please list/describe any experience you have working with children. (i.e. babysitting, coaching, camp counselor, volunteer, etc.)
*
Your answer
Are you comfortable leading a group of students in games/activities?
*
Yes
No
Maybe
Other:
What activities do you enjoy doing when not in school? (i.e. extracurriculars, or any hobbies)
*
Your answer
Do you have CPR or First Aid training? (not required but helpful for us)
Yes
No
Clear selection
Are you fully vaccinated?
Yes
No
Prefer not to disclose
Other:
Clear selection
(Optional) Please provide the name and contact info of 1-2 references.
Your answer
Anything else you want us to know?
Your answer
Thank you!!!
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