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Camp Leadership Application
Welcome to the Independence Township LIT Program! We are so excited for a summer that again incorporates our LIT campers. We can't wait for a summer full of volunteer based service projects and fun!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
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Your answer
LIT Phone Number
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Grade in 2022-2023 School Year
*
9th Grade
10th Grade
11th Grade
School Attending
*
Your answer
Weeks Available for Camp
*
Week One June 13-17
Week Two June 20-24
Week Three June 27-29
Week Four July 6-8
Week Five July 11-15
Week Six July 18-22
Week Seven July 25- 29
Week Eight August 1-5
Week Nine August 8-12
Required
My T-Shirt Size is:
*
S
M
L
XL
Other:
Why are you interested in being an LIT?
*
Your answer
Provide the name of one person who can speak to your leadership qualities and their relationship to you (examples include coach, teacher, pastor, or any adult not related to you).
*
Your answer
Reference Email
*
Your answer
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