Music Inside Out Summer Camp Peer Counselor Application 
Thank you for your interest in becoming a peer counselor for Music Inside Out Arts Camp which will be held July 22-26, 2004, 8:30 am - 5:30 pm at Jackson-Via Elementary School in Charlottesville. Counselors play a crucial role in supporting and guiding camp participants as they explore their passion for music, dance, drama and other art forms. If you are aged 17-25 and passionate about making a positive impact on the lives of youth living with familial incarceration and possible foster care, we encourage you to apply by completing the application below.

Questions about this form, CHC, or the position can be directed to Cathy Ames Turner at info@CHCVirginia.org. Also, feel free to check out our website here.
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PERSONAL INFORMATION
Full Name *
Age *
Contact Information 
[Email Address and Phone Number]
 *
EDUCATION AND EXPERIENCE
Current School/College/University (if applicable) *
Major/Area of Study (if applicable) *
Relevant Experience (e.g., volunteering, leadership roles, working with youth) *
AVAILABILITY
Are you available for the full week of camp, July 22-26, 2024 and the week before, July 15-19, 2024 for training? *
If no, please specify any scheduling conflicts.
SKILLS AND QUALITIES
Why are you interested in being a peer counselor for our arts camp? *
Tell us about the skills or qualities you possess that make you a great candidate for this role. *
How do you believe you can positively impact the camp participants? *
REFERENCES
Please provide the name and contact information of one reference who can speak to your character and suitability for this role. *
DECLARATION
I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in the rejection of my application.

Type your name and today's date below.
 *
Please hit the submit button below and email your resume to info@CHCVirginia.org no later than Friday, May 3 at 10 pm Eastern Time. 

Selected candidates will be contacted for an interview. Thank you for your interest in joining the CHC Family as a peer counselor!
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