Counselor Registration Form 2017
Counselor Registration Form 2017
Counselor Interviews will take place on Sunday, June 11 and Monday, June 12, 2017 from 6 to 8 p.m. at the Mor Aphrem Center. If you are unable to attend the interview dates, please contact us to make other arrangements.
Counselor Full Name *
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
City and Zip Code *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
E-mail *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age at the start of camp *
Your answer
T-shirt size *
Hobbies and abilities: *
(teach Syriac, Soccer referee, etc.)
Your answer
What would you like to get out of your involvement with S.S.C.? *
Your answer
Availability *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number: *
Your answer
Are you a returning counselor? *
If so, what position? *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.