Use this application ONLY if you are a RETURNING STAFF MEMBER.

Full Name
E-mail address

School/Current Address
Valid until:
City St Zip Home Phone Alternative Phone

Permanent Address (if different)
City St Zip Home Phone

Dates available for camp this summer:

What are you interested in doing at camp this summer (list by priority 1 - 2 - 3):

Counselor
Unit Leader
Specialist (specify area of interest)
Other





Please mark the activities you can teach, assist or work with as follows: Check "1" next to those you can be the lead; check a "2" next to those you can assist with; check a "3" next to those you have an interest in. Leave others blank.

1 - 2 - 3
Song leading
Mtn. Biking
Theater
Rock Climbing
Basketball
Baseball
Digital Photog.
Still Photo/Darkroom
Journalism
Swimming
HB Riding
Volleyball
Football
Art
Video
Archery
Ropes

1 - 2 - 3
Radio
Guitar
Soccer
Ultimate
Ceramics
Mod. Dance
Israeli Dance
Computers
Hockey
Disc Golf
Nature
Aerobics
Canoeing
Waterfront
Lacrosse

Other:

 

Please list any certifications and their expiration dates:

Please evaluate your previous summers' performance; what did you do well? What would you do differently?

Have you taken any courses or had any new experiences that would be helpful this summer?

What element of camp (program, facility, tradition) is most important to keep the same?

What element of camp would you change or improve?

Do you know of anyone that may be interested in applying for this summer?

Name:
Phone:
Email:

Are you a smoker?
Yes
No

If yes, can you make it through a camp day without smoking?
Yes
No