YMCA Camp Kern 2024 CIT Application

YMCA Camp Kern,

A branch of the YMCA of Greater Dayton

5291 State Route 350

Oregonia, OH  45054

Phone: (513) 932-3756 ext. 1530

Email: mhouseholder@daytonymca.org 

Website: www.campkern.org

Counselor in Training (CIT) Application

Sign in to Google to save your progress. Learn more
Personal Information
Full Name *
Address *
Phone Number *
E-mail Address *
By June 1, will you be 16 years old or older? *
References
Reference 1:
1. Name
2. Job/Position
3. Phone Number
 *
Reference 2:
1. Name
2. Job/Position
3. Phone Number
 *
Reference 3:
1. Name
2. Job/Position
3. Phone Number
Education and Work/Volunteer History
Please list the school you currently attend: *
Work/Volunteer History 1:
1. Employer/Organization
2. Position
3. Dates of Employment/Service
 *
Work/Volunteer History 2:
1. Employer/Organization
2. Position
3. Dates of Employment/Service
 *
Work/Volunteer History 3:
1. Employer/Organization
2. Position
3. Dates of Employment/Service
Please list any licenses or certifications that you hold, CPR, first aid, or lifeguarding, etc.
Job Information
How did you learn about YMCA Camp Kern? *
Check all activities you have experience with: *
Required
What ages would you prefer to work with? *
Required
Please describe any camping experience that you may have, including resident/day camp, years of experience, etc.  *
What is your understanding of the responsibilities of a Counselor in Training? *
Why do you want to be a CIT this summer? *
How do you show respect, caring, honesty, and responsibility?  *
What do you see as your four greatest strengths? *
What are two potential areas you have for personal growth this summer? *
Thank you for taking the time to complete this for and your interest in being a Counselor in Training this Summer. 
If you have not already registered for your session, please do so before submitting your application and references. 

Over the phone at: (513)-932-3756
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms