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Junior Counselor Application
Roughing It Day Camp - Junior Counselor Application
* Indicates required question
Email
*
Your email
Full Name:
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Your answer
Phone:
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Your answer
Birthdate:
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MM
/
DD
/
YYYY
Street Address:
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Your answer
City, State, Zip Code:
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Your answer
Grade (Entering Fall 2024)
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11th Grade
12th Grade
School:
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Your answer
Have you ever attended a summer camp? If Yes: Where and Which camp?
*
Your answer
Have you ever participated in a Jr. Counselor or Camper in Leadership Training (CILT) program? Please explain:
*
Your answer
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