JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Counselor in Training Application
Camp Kydnie 2022: July 2-8, 2022
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
Camp Kydnie requires all staff to be fully vaccinated against covid as defined by the CDC, with no exceptions. Are you currently vaccinated? (we will require a copy of your vaccine card)
*
Yes
No
Other:
This application is for Counselors in Training (CIT). CIT's are at least 16 years old and entering their senior year of high school. Are you at least 16 years old and entering your senior year of high school?
*
Yes
No
Other:
What is your address?
*
Your answer
What is your mailing address? (if different than physical address)
Your answer
What is your phone number?
*
Your answer
What is your date of birth?
*
MM
/
DD
/
YYYY
What is the best way to contact you?
*
Email
Phone
Text
Which age group would you be interested in working with? ***This is taken into consideration but not guaranteed.
*
Ages 6-10
Ages 10-14
Support Staff
Are you able to commit to the entire week of camp, including staff day (July 2-8, 2022)?
*
Yes
No
Other:
Camp Kydnie is currently planning to return to in person camp this year. In the event we are unable to hold camp in person, would you be willing to help plan and assist in virtual camp?
*
Yes
No
A typical day of a Camp Kydnie Counselor involves jam-packed days full of fun activities for campers and staff. Are you physically able to keep up with a 12+ hour day supervising children through activities?
*
Yes
No
Other:
What is your unisex tshirt size (adult sizes)
*
XS
S
M
L
XL
XXL
3XL
Other:
What is your unisex sweatpants size? (adult size)
*
XS
S
M
L
XL
XXL
3XL
Other:
Do you have any food allergies or dietary restrictions? If yes, please list below.
*
Your answer
If you attend a college/university, which school do you attend?
Your answer
If you are affiliated with a health care facility, please list it below.
Your answer
What would be the best time of day to contact you?
*
Morning
Afternoon
Evening
Camp Kydnie requires all staff members to hold valid child abuse and criminal background check clearances. Are you willing to obtain these documents? Our staff director will provide you with information on how to obtain them.
*
Yes
No
Other:
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
