Western Plains District Counselor-in-Training (CIT) Application
CITs must be at least 14 years old AND at least 3 years older than your oldest camper (finished 8th grade for pre-junior and junior camps and at least age 16 for junior high camps).
* Required
By checking the box below, I am confirming that I have received permission to serve as a counselor-in-training (CIT) from the director of the camp session I am applying for.
*
I have checked with the director.
Required
Applicant Information
First Name
*
Your answer
Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
E-mail
*
Your answer
Cell Phone
*
XXX-XXX-XXXX
Your answer
Home Phone
*
XXX-XXX-XXXX
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Age
*
Your answer
Gender
*
Female
Male
Home Congregation
*
Your answer
Parent/Guardian
*
First & Last Name
Your answer
Relationship to You
*
Your answer
Parent/Guardian E-mail Address
*
Your answer
Parent/Guardian Phone Number
*
XXX-XXX-XXXX
Your answer
School You Attend
*
Your answer
Current Year in School
*
Your answer
Choice of Camp
*
Choose
Camp Colorado
Camp Mt. Hermon
Choice of Camp Session
*
Come Along with Me (K-2nd grade) - Mt. Hermon only
Pre-Junior (3rd-4th grade)
Junior (5th-6th grade)
Junior High (7th-8th grade)
Required
Camping Experience
Please tell us how you've been involved in the following camp experiences.
Western Plains District Camps
*
Your answer
Other camps
*
(list name, type of camp, and years attended)
Your answer
Other Related Experience
Leadership Experience
*
Your answer
Work and/or Volunteer Experience
*
Your answer
Religious Background
*
Your answer
Statements
Please write a brief statement on the following:
Why would you like to be a counselor-in-training?
*
Your answer
What can you contribute to the Camp Colorado or Camp Mt. Hermon summer experience for children?
*
Your answer
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