Camp Headwaters
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Junior Counselor Application 2023
Contact Information
Applicant Name
*
First Name
Last Name
Applicant Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Your Current Grade:
*
select one
6th
7th
8th
Your Current School:
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
Verify Email
*
Parent/Guardian Phone
*
Parent/Guardian Communication Preference
*
Email
Phone
Text
Camp Preferences
Camp Dates:
*
Which camp weeks are you applying for?
June 19-22
June 26-29
July 10-13
July 17-20
July 24-27
July 31-August 3
Please write a paragraph explaining why you would like to be a Junior Counselor.
*
Personal Reference for Applicant:
*
Personal Reference Email Address:
*
Verify Email
*
Personal Reference Phone Number:
*
Please upload applicant's resume.
*
Please include extracurricular activities, previous camp experience, leadership opportunities, and any other information you would like us to know.