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Nantucket Community School ACKventure Camp Counselor Interest Form 2024
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Today's Date
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MM
/
DD
/
YYYY
Email Address
*
Your answer
Phone Number
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Mailing Address
*
Your answer
Education (High School)
*
Your answer
Education (College)
Your answer
Education (Graduate School)
Your answer
Please check all certifications you currently hold.
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Heartsaver® First Aid CPR AED (Required for ALL NCS camp counselors)
Lifeguard
Other:
Required
Please describe any experience you have working with children.
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Your answer
Please list all camps you have been employed by (on or off island), the position held and how long you worked there.
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Your answer
Please check off all age groups you would feel comfortable leading.
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3.6-4.11 (3 years and 6 months to 4 years and 11 months)
3.6-8 (3 years and 6 months to 8 years old)
5-8 (5 years old to 8 years old)
Required
Have you ever been convicted of a felony or misdemeanor? If so, please explain.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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