St. Luke's Community Camp 2018 Youth Internship Registration
Monday, July 30th - Friday, August 3rd

This internship will require 50 hours the week of camp, and may be specialized to an intern's particular strengths and interests. Interns will attend safeguarding training, engage directly with students, and assist with camp curriculum creation and execution.

We will happily act as a reference, offer recommendations, and help interns work this experience into their resumes and applications.

Untitled Title
Intern's Full Name (& preferred name) *
Your answer
For which internship program are you applying: *
Intern's Age (& full birthdate) *
Your answer
As specifically as possible, tell us your availability the week of camp: *
Your answer
What are some of your interests, hobbies, or curiosities? *
Your answer
What do you see as your greatest strengths? *
Your answer
How comfortable are you working with younger children? *
I would prefer to prepare materials/set-up spaces/assist in other ways.
I love guiding and teaching young children.
Tell us about other internships you've done in the past (if any)! *
Your answer
I would like to be a camp intern because: *
Your answer
What experiences would you most like to have this summer? *
Your answer
Parent/Guardian Name(s): *
Your answer
Phone #(s): *
Your answer
Emergency Contact (name and relationship): *
Your answer
Emergency Contact (phone #): *
Your answer
Please advise us of any allergies we'll need to avoid in our camp. *
Your answer
Primary physician (name & number): *
Your answer
Being the parent or legal guardian of the above-named youth, I give my consent to emergency medical and surgical treatment in the event that such treatment becomes necessary. I grant my permission for treatment in a licensed hospital by a licensed physician and the physician’s assistant and designees. I understand that hospital personnel will make reasonable attempts to contact me before initiating treatment. The minor named in this consent may receive all treatment provided according to generally accepted standards of medical practice. My consent is effective for the time period from July 30th through August 3rd, 2018. (Type name below by way of signature.) *
Your answer
I, the parent or legal guardian of the above named youth, give my permission to St. Luke's Community Camp 2018 to post my youth's picture in hard copy or on the camp's website. I understand that my youth's name will not be posted with her/his photograph. *
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