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Farm Camp COWnselor Application
2021Version - Due February 15
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Birthday
*
Must be 13 by August 31 to help at Little Farmer camp
MM
/
DD
/
YYYY
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Email
*
Your answer
Cell Phone (Counselor, if applicable or parent)
Your answer
T-shirt Size
*
These are adult sizes. If you need a YOUTH size, please type that in the other section
S
M
L
XL
Other:
Applying for Position
Must be 16+ to be a cow-nselor. Volunteers will be considered at age 13+
COWnselor
COWnselor in Training (volunteer)
Clear selection
Weeks Available
*
Camps are from 8AM-3PM, except Little Farmers 8AM-2PM. Plan to arrive 40 minutes early and stay 20 minutes after campers leave.
June 7-10
June 14-17
June 21-24
June 28-30
July 5-8
July 12-15
July 19-22
July 26-29
August 3-5
August 9-11
August 16-19
Required
Certifications
*
Check all certificates you have received in the last 5 years
CPR
First Aid
Babysitting
Required
Describe your LEADERSHIP experiences.
*
Your answer
Please describe your experiences working with CHILDREN.
*
Your answer
Please describe your AGRICULTURE experiences.
Your answer
Electronic Signature
Your answer
Submit
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