Counselor-in-Training Application - Media Providence Friends School

Applicant Information

The Counselor-In-Training program is open to responsible young people ages 12-15 who are interested in gaining job experience by assisting counselors in their daily duties at Summer Friends. Spaces in the CIT program are limited. This application will be removed when all CIT positions have been filled.

First Namerequired

Last Namerequired

Birth Daterequired

Must contain a date in M/D/YYYY format

Age (as of first day of camp)required

Addressrequired

Cityrequired

Staterequired

Ziprequired

Email Addressrequired

Phonerequired

Genderrequired

Male

Female

Nonbinary

Other

Please type preferred gender expression:

Preferred Pronouns

She/Her

He/Him

They/Them

Other

Please type preferred pronouns here:

Name of Schoolrequired

Grade for 2022-2023 school yearrequired

Please select the week(s) that you are interested in working as a CIT. CIT’s are expected to work from 8:00 – 3:00. You may also volunteer to work in the After-Care program, which operates from 3:00 – 5:30.

I would like to work the following week(s):

Week 1: June 20-24

Week 2: June 27-July 1

Week 3: July 5-8 *Please note NO CAMP July 5*

Week 4: July 11-15

Week 5: July 18-22

Week 6: July 25-29

Week 7: August 1-5

Week 8: August 8-12

Week 9: August 15-19

I would like to work the following week(s) for After-Care:

Week 1: June 20-24

Week 2: June 27-July 1

Week 3: July 5-8 *Please note NO CAMP July 5*

Week 4: July 11-15

Week 5: July 18-22

Week 6: July 25-29

Week 7: August 1-5

Week 8: August 8-12

Week 9: August 15-19

Please explain why you believe you would be a good choice for CIT. Include information about your interests and your camp-related and/or work experiences that you feel will support your CIT application; also include a reference.

Parent/Guardian Information

First Name

Last Name

Gender

Male

Female

Nonbinary

Other

Please type preferred gender expression:

Preferred Pronouns

She/Her

He/Him

They/Them

Other

Please type preferred pronouns here:

Is address different than applicant?

No

Yes

Address

City

State

Zip

Home Phone

Work Phone

Cell

Email Address

Terms of Application Agreement

WE UNDERSTAND AND AGREE TO BE BOUND to the terms of application stated on this page.

Parent/Guardian Signature

Date

Must contain a date in M/D/YYYY format

Applicant Signature

Date

Must contain a date in M/D/YYYY format