Wildlife Safari Summer
Camp
Counselor-In-Training
Application
Name __________________________________
Birthdate _______ Grade _______
Address________________________________________________________________
Phone_____________ E-mail__________________
Present Occupation___________________________
Soc Sec #__________________
References: (No family members, please.
Teachers, coaches are great!.)
1. Name: ___________________________
Phone: _____________
Description of Relationship: ____________________________________________
2. Name: ___________________________________
Phone: ________________
Description of Relationship: _____________________________________________
Please briefly answer the following questions
on a separate sheet of paper to help us get to know you better.
-
What do you hope to gain from participating
in this program?
-
Have you ever had a leadership position at
a camp (counselor, lifeguard, etc.)? If so, with what age did you work?
What skills did you acquire? Describe your experience.
-
What special skills, experience, or talents
can you bring to your group of campers, fellow CITÂ’s and counselors?
-
Describe your interest and background in environmental
education.
-
Describe any other previous job and volunteer
experience.
-
Are you able to attend the training meetings,
held from 9 am-1 pm on July 19 and 22?
I, ________________________, verify that
all the information provided is true and correct.
Signature of applicant: ________________________________
Date: _______
Signature of parent or guardian ____________________________
Date: _______
Thank you for your application. Mail completed
applications to: Safari Summer Camp
Wildlife Safari
PO Box 1600
Winston, OR 97496
Applications must be received by 5:00 pm
on June 10, 2002 to be considered. |