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2023 Summer Camp Counselor Application
Please fill out entire application. If you have any questions, please feel free to email Cam at
cam@fhnc.org
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Email Address
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Special Certifications Held (current) ex: CPR, First Aid etc
Your answer
Name of school you attend
*
Your answer
Grade level
*
7th grade
8th grade
Freshman
Sophomore
Junior
Senior
Attending college
Other:
Past Work Experience (Who have you worked or volunteered for in the past? How long did you work there? What were your responsibilities?)
*
Your answer
Tell us why you want to be a Fern Hollow Counselor or volunteer.
*
Your answer
Do you have any special dietary restrictions?
*
Yes
No
If you have dietary restrictions please explain
Your answer
Have you ever been arrested or convicted ?
*
Yes
No
Work availability - please tell us the weeks in the summer that you ARE available.
*
Your answer
Work availability
*
Morning 8:30am-1pm
Afternoon 12:30pm-4:30pm
All day 8:30am-4:30pm
Work Preferences (choose all that apply)
*
Ages 3-4
Ages 5-7
Ages 8-10
Ages 11-13
Required
Reference 1 (Name, address, and phone number or email contact)
*
Your answer
Reference 2 (Name, address, and phone number or email contact)
*
Your answer
Thank you for volunteering with Fern Hollow!
A copy of your responses will be emailed to the address you provided.
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