| Required Fields * |
| PERSONAL INFORMATION |
| NAME * |
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| BIRTH DATE * |
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| HOME PHONE * |
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| CELL PHONE |
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| E-MAIL ADDRESS * |
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| MAILING ADDRESS * |
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| CITY *
STATE *
ZIP CODE * |
| How did you find out about the Fitness for Kids CIT Program?
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| Check off the weeks of camp that you are committed to work as a CIT * |
Week 1 (June 14-18)
Week 2 (June 21-25)
Week 3 (June 28-July 2)
Week 4 (July 5-9)
Week 5 (July 12-16)
Week 6 (July 19-23)
Week 7 (July 26-30)
Week 8 (August 2-6)
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Subject to available space and your performance, would you like to be considered for additional weeks?
Yes
No |
| EDUCATIONAL: |
| School Attending * |
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| City * |
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| Next Year's grade level * |
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| GPA * |
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| Favorite Classes * |
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| Extracurricular Activities * |
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| RELATED EXPERIENCE (Camp, Volunteer, etc.) |
Have you ever been a camper at the Fitness for Kids Summer Camp?
*
Yes
No |
| If yes, how many years
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Have you attended other camps as a camper or CIT?
*
Yes
No |
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| OTHER EXPERIENCE |
| 1. Organization |
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| Position |
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| Years |
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| Name of Supervisor |
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| Phone Number |
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| Responsibilities |
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| 2. Organization |
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| Position |
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| Years |
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| Name of Supervisor |
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| Phone Number |
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| Responsibilities |
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| CAMP SKILLS |
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Other skills, interests, trainings, or certifications not listed above or mentioned:
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| Please explain how you would handle the following situations that may happen at camp: |
| One of your campers refuses to eat during a meal. * |
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| It is pouring down rain and afternoon activities are cancelled. You are with your campers indoors for two hours. What afternoon activities can you lead? * |
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| You hear campers using inappropriate language. * |
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Describe two assets or personal strengths you have which would enable you to be a successful CIT and why: *
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| CIT commitment statement * |
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If chosen as a Counselor-in-Training, I will commit to understanding the requirements and responsibilities of being a good camp counselor. I will commit to being at camp for each week I have selected, and will perform my duties as instructed. I understand that being a CIT is an important responsibility, and I am attending camp not as a camper but as a role model for younger campers. I am willing to give of myself to help them grow, develop, and enjoy camp. I submit that all the information on this application is true and complete. I understand that if I do not meet the standards of a responsible counselor, I may be dismissed from my duties. |
| RECOMMENDATION INFORMATION: |
| Please have at least two
teachers or supervisors
submit a completed Staff Leadership Reference Form. |