Lead Camp Counselor Application
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Email *
Name *
Date of Birth *
MM
/
DD
/
YYYY
Select Gender *
Home Address  *
Phone Number  *
Ar you a WELS Member *
Name of WELS Church you are affiliated with *
Brief description of your experience and qualifications *
List 2-3 References with Phone Numbers *
A copy of your responses will be emailed to the address you provided.
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