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Counselor Assistant Registration and Application
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Attention potential Counselor Assistants - You have until Friday, May 17, 2024 to submit all required paperwork
Full Name
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Your answer
Home Address
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Your answer
Applicant Cell Phone #
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Your answer
Applicant Email Address or email that is checked frequently
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Your answer
Parent/Guardian Name
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Your answer
Parent/Guardian Cell Phone #
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Your answer
Parent/Guardian Email Address
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Your answer
I understand that if I am chosen as a CA, I will have to attend the week long training to be held from Monday, July 29-Friday, August 2.
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Yes
No
Counselor Assistant Application
Please click on the link and complete the application. Once completed, you can hit share and send to campyey@southwestcouncil.org, if you have a Gmail account. If not, you can simply save the document and email it to campyey@southwestcouncil.org
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Your answer
Registration Link
Please complete the application process by clicking on the link above and answering all questions. You do NOT need to submit immunization records until you are chosen as a CA.
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Your answer
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