Allandale Farm Outdoor Summer Program Counselor in Training/Junior Counselor Application
Basic Application Information
Email address *
Last Name *
Your answer
First Name *
Your answer
Primary Phone Number (Please indicate Mobile, Work, Home) *
Your answer
Alternate Number (Please indicate Mobile, Work, Home)
Your answer
Current Address *
Your answer
D.O.B. *
Your answer
Current School (or most recent) and Grade/Level *
Your answer
Are you CPR certified? *
CPR age group(s) and expiration date
Your answer
Are you First Aid certified? *
First Aid age group(s) and expiration date
Your answer
Summer dates you are available *
Your answer
Positon Desired *
What prompts you to want to work with the Allandale Farm Outdoor Summer Program? *
Your answer
What personality/character traits make you someone who would do well working with children and why? *
Your answer
What camps have you attended as a camper/participant and what were the dates (or how old were you when you attended them)?
Your answer
What else should we know? Please provide any additional information you would like to share or think is relevant/helpful.
Your answer
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