Counselor Application Form

Please check the program activities listed below in which you have ability and/or training. You are not expected to qualify in all areas.

1. Have you ever worked in the camping industry?      Yes NO
2. Describe your experiences working with children ages 7-16
    
3. Give details of your work history
    
4. Please explain your qualifications, experience and skill level in activities you CHECKED as
      "can teach" or have experience in.
    
5. What extra-curricular activities and/or community functions have you taken part in?
    
6. You will be required to submit a background check during the application process in order for your application to be valid.
     a. Have you ever been convicted of a crime?      Yes NO
     b. Have you ever been arrested for child abuse or sexual assault?      Yes NO
         If yes, please explain.
         
7. Medical History: Do you know of any current physical or emotional conditions that would limit your ability to perform the essential function of a camp employee working with children?
Yes NO    If yes, please explain: