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
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