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Asian Camp Counselor Registration 2022: General Info
Thank you for taking the time to complete your online Registration! Please make sure all of your info is correct before submitting and submit your Registration only once.
See the Registration Checklist on the website.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Email Address
*
Your answer
Phone Number
*
(###) ###-####
Your answer
Please check your preferred method of communication
*
Email
Phone (Text)
Required
Mailing Address: Street, City, State, Zip
*
Your answer
Gender and/or Preferred Pronouns
*
Your answer
T-shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Sweatshirt Size (additional $30 if wanting to purchase)
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
None Desired
Clear selection
Education and Work Experience
Year in school in Fall 2021
*
2nd year undergrad
3rd year undergrad
4th year undergrad
5th year undergrad
Other:
College and Degree/Major (if applicable)
Ex. University of Washington, Computer Science
Your answer
Occupation and Employer (if applicable)
Ex. Barista, Starbucks
Your answer
Local Church Affiliation and Previous Camp Experience
Current Church Affiliation
*
Please select church where you currently worship most regularly
Aldersgate UMC
Bayside UMC
Blaine UMC
Buena Vista UMC
Centenary UMC
Faith UMC
Sacramento Japanese UMC
Simpson UMC
United Japanese Christian Church
Wesley UMC
West LA UMC
Other:
Required
How many years have you attended Asian American Summer Camp as a CAMPER?
*
Choose
0
1
2
3
4
5
6
How many years have you attended Asian American Summer Camp as a COUNSELOR?
*
Choose
0
1
2
3
4
5
6+
When was the last year you attended camp? (in any role) Please fill in N/A if you haven't attended before.
*
(YYYY)
Your answer
Select the Grade Levels you prefer to Counsel
*
Please list your top 3 choices in order of priority with the first selection as your most desired grade level. (Choices: incoming 10th, 11th, 12th, 13th, 14th)
Your answer
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