Jr. Counselor (CIT) Form for Camp 2019

Please fill out form below. If you would like to donate to this program (free for Jr. Counselors but donations would be appreciated ) please press the donate button!

This form needs to be filled out by all volunteers.

Name*
First Last
Street and Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone*
A short description of any previous experience.
List 3 references and phone numbers.
Additional Information you would like us to know.
If there is any emergency while I am volunteering, please contact:
Name
First Last
Phone
Cori Info Needed: First Name, Last Name, Middle Name
Cori Info Needed: Place of Birth
Cori Info Needed: Date of Birth
Cori Info Needed: Last Six Numbers of Social Security
Cori Info Needed: Mother's Maiden Name
Current Address
Cori Info Needed: Maiden Name If Applicable
Cori Info Needed: Mother's First Name, Last Name and Maiden Name
Cori Info Needed: Father's First and Last Name
Cori Info Needed: State Driver's License Number If Applicable