IAJHSC Summer Leadership Camp JC Application 2018
Before completing this form, PLEASE PRINT AND READ THE PACKET AVAILABLE AT WWW.IAJHSC.ORG. Please complete the following online form ALL AT ONCE. Once you leave the form, you can't return to it. Make sure you submit this form on or before March 1st. The reference letters, along with the parent permission form and the academic/citizenship statement are to be postmarked on or before March 1st as well. Good luck!
Gender *
Choose one
Last Name *
Your answer
First Name *
Your answer
Home Address *
This is your mailing street address.
Your answer
Town/City/Village *
What town, city or village do you live in?
Your answer
State *
Zip code *
Your answer
email address *
please use an email address that you check frequently. Email is our primary means of communication.
Your answer
Phone number *
Use your cell phone or a home phone. Use the best way to get a hold of you.
Your answer
IAJHSC District *
What IAJHSC district were you in at your middle school?
Adult T-Shirt Size *
Year in School *
What grade are you in right now?
What high school are you currently attending? *
Please type the name, town and phone number
Your answer
What Junior High/Middle School did you attend? *
Your answer
What was the name of your junior high/middle school student council advisor? *
Your answer
As an applicant for the position of junior counselor, I understand the importance of being a positive role model for the camp delegates. I also understand that my actions should reflect the message delegates receive at camp about the behavior expectations of leaders. I therefore pledge not to use tobacco, drugs, or alcohol while serving as a junior counselor at Summer Leadership Camp and while participating in the functions identified as being attended by IAJHSC Camp Staff members. I further pledge to refrain from the above activities during my 4 year JC eligibility. *
By clicking agree, you are digitally signing this pledge.
Never submit passwords through Google Forms.
This form was created inside of Lemont-Bromberek CSD113A. Report Abuse - Terms of Service - Additional Terms