Personal Information
I am applying for the position of If Counselor or Jr. Counselor please choose division
Last Name
First name
Soc. Security #
Gender
Age
Date of Birth:
Address
Phone
 
City
E-mail
 
State
Drivers License #
 
Zip
   

 

EDUCATION
School Grade Degree Earned

 

Camp experience (as employee) most recent employment first
Position Camp Director City Phone Dates

 

References
Please provide detailed information regarding your head counselors from the past 3 summers
Name Current Phone Number Year

 

Additional Information

Do you hold a current life-saving or water-safety certificate? Indicate which and give date of certification.  

Do you have a commercial driver's license?

Which age group would you prefer to work with at camp?

What special qualities or character traits do you have that would benefit our camp?  

Do you have any unique talents such as artistic or musical abilities?  

What aspect of working with children do you find most rewarding?  

What aspect of working with children do you find most difficult?