Eugene Science Center Camp Counselor Application
Thanks for your interest in becoming a summer camp volunteer counselor! Summer Camp Counselors are committed for at least one full week of camp. Prior volunteers still need to fill out this form to be camp counselors. All counselors must attend a camp counselor training.
Full Name *
Your answer
Today's Date
Mailing Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Name and phone number of your Emergency Contact: *
Your answer
Please let us know about any skills, talents, or topics you are knowledgeable about (ex. arts & crafts, sports, group games, science topics, etc):
Your answer
Are you comfortable leading 20 minute activities for k-5th grade students within your listed skills/knowledge?
Which weeks are you available for camp? You can see a list of camp themes at *
Morning Shifts (8:00am to 1:00pm)
Afternoon Shifts (12:00pm to 5:00pm)
Full Day Shifts (8:00am to 5:00pm)
Not Available this Week
Week 1: June 24 - 28
Week 2: July 1 - 5
Week 3: July 8 - 12
Week 4: July 15 - 19
Week 5: July 22 - 26
Week 6: July 29 - Aug 2
Week 7: Aug 5 - 9
Week 8: Aug 12 - 16
Week 9: Aug 19 - 23
Week 10: Aug 26 - 30
Are you currently in school during the school year? *
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