Youth Standing Strong Camp Registration Winter 2023

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Host Application

Email *

Applicant's Full Name *

Name you would like to be called at camp *

My pronouns are *

she/her

he/him

they/them

Other:

Contact email address *

How to contact you in case of technical difficulties at camp *

Place you're coming from *

What time zone will you be operating from? *

What time slots are you available for? *

Preferred

Available

Not available

A ~ 9:00-10:30am EST/3:00-4:30pm CET/7:30-9:00pm IST

B ~ 2:00-3:30pm EST/11:00am-12:30pm PST/8:00-9:30pm CET

C ~ 5:00-6:30pm EST/9:00-10:30am HST/2:00-3:30pm PST

How did you hear about camp? *

Please summarize your experience with zoom and online tech hosting. *

What's your connection to the arts? *

Please summarize your experience working with youth. *

What age group(s) do you enjoy working with? *

ages 5 - 8

ages 9 - 11

ages 12 - entering last year of high school

Required

What do you like about those ages? *

Please provide a professional reference for work with children we can contact if needed: name, position, contact info. *

Are there organizations or individuals you can connect us to in order to help grow camp (such as potential donors, youth tellers, mentors or hosts?) If so, please list.

Is there anything else you'd like us to know about you?

If you are applying to be both a mentor and host, which is your preference?

I'd prefer to be a mentor.

I'd prefer to be a host.

Place me wherever you need me.

I'm only applying to be a host.

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