MANITOGA Nature & Design Camp
COUNSELOR-IN-TRAINING (CIT) APPLICATION

LAST DAY TO SUBMIT: FRIDAY, MARCH 31, 2017 - PLEASE BE SURE TO REVIEW THE COUNSELOR-IN-TRAINING PROGRAM DESCRIPTION POSTED ON MANITOGA'S WEBSITE PRIOR TO COMPLETING THIS APPLICATION.

PLEASE NOTE:
There are 5 total spots available.
Submission of application does not indicate acceptance - once an applicant has been selected, he/she will receive an email from Manitoga that includes next steps for registering.
Applications will be reviewed on a first come, first serve basis.
The program is designed for campers who truly show leadership potential and have a desire to excel in the camp setting.
Joining Manitoga at the Family Membership level - $85 - is the fee for CIT registration.

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Personal Information
Please provide your first and last name in the box below. *
Please indicate your mailing address including zip code below. *
Please provide a phone number where you can be reached. *
Indicate whether it is a cell or home number.
Please provide a valid email address for you (if you have one) AND for your parent or guardian. *
Note: Manitoga will email both you and your parent/guardian important information regarding potential acceptance, registration, required orientation information etc...please be sure to check your email on a regular basis.
Please enter your date of birth below. *
Note: CITs must be at least 13 years of age by the start of camp.
Please indicate your gender. *
What is the name of the school that you attend? *
What is your current grade? *
Please enter a parent or guardian's first and last name. *
Please provide a phone number for your parent or guardian. *
Have you attended Manitoga's Summer Nature & Design Camp before? *
If yes, please indicate the year(s) of attendance.
If no, please indicate how you heard about us.
Please check any that apply.
Short Answer Questions
In the box below, please list any job or volunteer experience you have had. *
Please include the dates that you were involved.
Please indicate any extra-curricular activities that you are involved in. *
Please include dates of involvement.
Why do you want to participate in the CIT program? *
What are three goals you have for yourself? *
What do you think will be your biggest challenge as a participant in the CIT program? *
Describe some experiences you have had working with children. *
How do you feel about being in nature? Please include your comfort level with hiking (up to 1.5 miles) as that will be included in the camp program. *
Electronic Signatures
Applicant Signature
By typing your name in the box below, you attest that the information provided in this application is true to the best of your knowledge and that you have reviewed and understand the expectations of the Counselor-In-Training program as explained in the Overview Description posted on Manitoga's website. *
Typing your name represents that you have digitally signed this document.
Parent/Guardian Signature
By typing your name in the box below, you agree to the submission of your child's application and have reviewed and understand the expectations of the Counselor-In-Training program as explained in the Overview Description posted on Manitoga's website. *
Typing your name represents that you have digitally signed this document. Note: If this submission is approved, Manitoga will contact the applicant AND parent/guardian via email with next steps for registering (including required medical forms & membership enrollment).
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