Camp Counselor Application

The maximum number of form submissions has been reached. This form is currently not available.

My first choice is for: REQUIRED Please fill out this field.
If spots are available for both weeks would you like to be considered? REQUIRED Yes No Please fill out this field.
I would like to be considered for the role of: REQUIRED Coach (2+ years experience) Senior Counselor (1-2 years experience) Junior Counselor (0-1 year experience) Please fill out this field.
If spots are not available to everyone who applies would you like to be considered for a non-counselor role at camp(referee, line judge, helper, etc.), REQUIRED Yes No Please fill out this field.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
What school do you currently attend? REQUIRED Please fill out this field. Please enter valid data.
In the fall this year what grade will you be in? REQUIRED Sophomore Junior Senior Graduate Please fill out this field.
Please tell us about any training or experience in any of the following areas: working with children, athletic training/experience, CPR/First Aid training, etc. Include past camp experience REQUIRED Please fill out this field.
Are there any circumstances or potential circumstances that would affect your availability as a counselor (sporting events, work, school, etc.) Please explain REQUIRED Please fill out this field.
As a camp counselor I understand that I will be a leader and role model for campers, and am a representative of the camp and a steward of the camp’s authority. I agree to: REQUIRED Be part of the camp counseling team under the authority of the camp directors. As a part of that team, I agree to be supportive, engaged and positive. Be willing to work the job to which I am assigned Assume responsibility for my timely transportation to and from camp Follow camp policies and procedures Seek to engage campers in teamwork, good sportsmanship, respect and Christian behavior. If accepted, I agree to personally and immediately notify the camp directors if circumstances affect my availability Please fill out this field.
I Agree Please select this field.

Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

ST. LEONARD YOUTH RETREAT CENTER

Avon, OH

Camp Counselor Application