Full Name:
 E-mail address:

Current Address:
Address:
 City:
State:
 Zip:
Phone:
  

Permanent Address:
Address:
 City:
State:
 Zip:
Phone:
  


Position Applying For:
 Date of Birth:


Activities

Please mark the following activities that you have done at least 3 times:

Swimming Diving Sailing
Water-skiing Canoeing Fishing
Gymnastics Drama Softball
Volleyball Basketball Soccer
Tennis Archery Climbing
Camping Hiking Ecology
Conservation Roller Skating Photography
Volleyball Basketball Soccer
Aerobics Jazz Dance Horseback Riding
Arts-n-Crafts Pottery Tie Die
Macrame Painting Creative Writing
Guitar Yoga Karate
Radio Broadcasting Mountain Biking


From the above, please list the three things which you are most skilled.


Do you hold any current certifications?


Tell us about yourself! (i.e. are you a student, what school, etc.)


Tell us why you want to work at camp.


Tell us why you'd be a cool person to have at camp....


Do you have any questions for us?


When is the best time to contact you?


How did you hear about Birch Trail?


If other, please specify:


Please note: All of our Junior Counselor positions have been filled - we only have positions available for college-aged applicants and older.

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