2017 Camp Internship Application
Thank you for your interest in applying for a camp internship! Camp internship opportunities are only available to 16-18 year olds who have attended camp before. If you have never attended camp before, please apply to be a camper!! <3

Applications are due Monday, May 15th, 2017

If you have any questions, please call 347-599-0716 or e-mail vivianne@williemaerockcamp.org.

Your Legal First Name *
Your answer
Your Legal Last Name *
Your answer
First Name as you would like it to appear on intern badge
If different from legal name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Internships are for youth aged 16 - 18 during the internship period. If you are younger than 16, please indicate if you have a birthday during the summer of 2017.
Your answer
Your Preferred Gender Pronouns
Preferred Gender Pronouns, or PGPs, are the pronouns that an individual would like others to use when talking to, or about, that individual. Check all that apply.
Current Grade in School
If currently enrolled in school...
Your answer
Name of School
If currently enrolled in school...
Your answer
Neighborhood of School
If currently enrolled in school...
Your answer
This school is
If currently enrolled in school...
Your Email Address
If applicable
Your answer
Your Primary Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Your Mailing Address
If different than above
Your answer
Mailing City
If different than above
Your answer
Mailing State
If different than above
Your answer
Mailing Zipcode
If different than above
Your answer
FAMILY/CAREGIVER INFORMATION
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1's Relationship to You *
Your answer
Does Parent/Guardian 1 live with you? *
Parent/Guardian 1 Primary Phone Number *
Your answer
Parent/Guardian 1 Alternate Phone Number
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 1 Address
If different from camper's primary address
Your answer
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