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P4P Summer Camp Counselor Application
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* Indicates required question
Last Name
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Your answer
First Name
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Your answer
Middle Initial
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Your answer
Street Address
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Your answer
City
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Your answer
State
*
Your answer
Zip Code
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Your answer
Phone Number
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Your answer
Email
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Your answer
Are you a citizen of the United States?
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Yes
No
If no, are you authorized to work in the US?
Yes
No
Clear selection
Have you ever been employed by P4P?
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Yes
No
If so, when?
Your answer
Have you ever been convicted of a felony?
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Yes
No
If yes, explain.
Your answer
High School
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Your answer
High School Address
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Your answer
Dates of High School Attendance
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Your answer
Did you graduate?
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Yes
No
College
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Your answer
Address of College
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Your answer
Dates of College Attendance
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Your answer
Did you graduate?
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Yes
No
Degree
Your answer
Other Education
Your answer
References: Please list three references. Please include at least one professional reference (teachers, employers, etc.). Please list the individual's name, relationship to you, company, phone number, and address.
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Your answer
Please list previous musical experience. Please include instrument(s)/voice and number of years.
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Your answer
Please name and briefly describe other musical experiences including lessons, ensembles, and other activities.
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Your answer
Disclaimer and signature: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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Your answer
Date
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