Summer Camp Counselor Application

SUMMER CAMP COUNSELOR APPLICATION

All positions for 2023 have been filled. Thank you for your interest.

First name *

Last name *

Address *

City *

Zip code *

Phone numer *

Email address *

Emergency contact name*

Emergency contact's phone number (Contact will be called in an emergency.) *

Date of birth (month/date/year) *

Where do you attend church? *

Which school do you attend? *

Grade level completed in May 2023 *

What is your T shirt size? (T shirts run small.) *

Describe any experience you have with children. *

Which weeks of summer camp are you available? *

Week 1 - June 12-16

Week 2 - June 19-23

Week 3 - July 17-21

Week 4 - July 24-28

Which positions are you applying for? *

Junior Counselor (high school)

Senior Counselor (must be 18 years or older; college student preferred)

I acknowledge that counselor training is MANDATORY, at a date to be determined. *

yes

I acknowledge the shift for summer camp is 8:00am-5:30pm, with rotations that ensure I work no more than 40 hours per week. *

yes

Please list any allergies or medical conditions or any additional information we need to know.

Submitted by *

Date *