Junior Counselor Application 

Applicant Name *
Applicant Name
Today's Date *
Today's Date
Address *
Address
Phone Number *
Phone Number
Date of Birth *
Date of Birth
Have you completed the CIT training? *
Which Camp Sessions are you able to Volunteer for? *
Education
Emergency Contact Information
Emergency Contact Phone *
Emergency Contact Phone
References
Reference 1 Phone *
Reference 1 Phone
Reference 2 Phone *
Reference 2 Phone
Reference 3 Phone *
Reference 3 Phone
Signature
I hereby declare the information provided by me on this application is true, correct, and complete to the best of my knowledge. I understand that if employed, and misstatement or omission of fact on this application shall be considered cause for dismissal. I authorize you to contact references. *
I hereby declare the information provided by me on this application is true, correct, and complete to the best of my knowledge. I understand that if employed, and misstatement or omission of fact on this application shall be considered cause for dismissal. I authorize you to contact references.
Today's Date *
Today's Date