2019 Camp Kern Counselor Application Part I
For Forest Hills high school SOPHOMORES, JUNIORS, and SENIORS who wish to apply to be a Camp Kern Counselor for 2019. Entire application is due by FEBRUARY 14 (Parts I and II, Part I is submitted online and Part II is a paper application to be turned in to the counselor's office at your school). Once you have completed the online part of the application YOU MUST CLICK SUBMIT at the bottom of the application or your application will not be sent.
Last Name *
Your answer
First Name *
Your answer
School *
Current Grade Level *
Gender *
T-Shirt Size *
Age as of May 6, 2019 *
Your answer
Birthdate (month/day/year) *
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Phone Number (best way to reach you) *
Your answer
Email Address *
Your answer
Parent's Name (first and last name of one parent) *
Your answer
1. Were you a Camp Kern counselor last year? *
2. Did you apply to be a Camp Kern counselor last year? *
3. Are you or have you been a Peer Counselor? *
4a. Have you had any experience as a camp counselor? *
4b. If you have been a camp counselor, give dates and describe your responsibilities.
Your answer
5. Do you have a current Life Saving Certificate (to qualify as a lifeguard)? *
6. Have you ever been suspended from high school? *
7. Have you ever been expelled from high school? *
If you answered "yes" to either question #6 or #7, please explain.
Your answer
8. Have you ever been disciplined for your behavior in an extracurricular activity? *
If you answered "yes" to question #8, please explain.
Your answer
9a. Select the sessions below for which you would like to apply. DO NOT SELECT A SESSION THAT YOU CANNOT ATTEND. If you are only available for 2 sessions you should only give a first and second choice; if you are only available for 1 session you should only select a first choice. Choose sessions according to preference and availability. CHECK YOUR ACTIVITY CALENDAR (e.g., sports, band, orchestra), AP exam schedule, and consult with your parents before making these selections. You will be considered for any session you select. Due to the large number of applicants for some sessions, not all applicants are selected. If you are available for more than one session, it may be more likely for you to be selected. SELECT YOUR FIRST CHOICE: *
9b. SELECT YOUR SECOND CHOICE:
9c. SELECT YOUR THIRD CHOICE:
10a. Counselors assist with lessons at camp. Indicate your preference for lesson topic. SELECT YOUR FIRST LESSON TOPIC CHOICE: *
10b. SELECT YOUR SECOND LESSON TOPIC CHOICE: *
10b. SELECT YOUR THIRD LESSON TOPIC CHOICE: *
10b. SELECT YOUR FOURTH LESSON TOPIC CHOICE: *
List names of two teachers who will be completing recommendation forms for you. Must be a teacher who has taught you in the past 2 years. *
Your answer
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