Counselor Application

Please fill out the following information.  Misrepresentation, incomplete, or inaccurate information may result in the rejection of the application. When answering questions, please be professional about the answers.

1. Last Name(required)
2. First Name(required)
3. Email(valid email required)
4. Street Address(required)
5. City(required)
6. State(required)
7. Zip(required)
8. Date of Birth (mm/dd/yy)(required)
9. Gender
10. Male Female
11. Education
12. Attending College:
13. Yes No Graduated
14. Will your work commitments prevent you from being part of the camp?
15. Yes No
16. Current Year: (If graduated, please leave blank)
17. Freshemn Sophmore Junior Senior
18. College Name:
19. Work History
20. Company Name:
21. Start Date (mm/yy):
22. End Date (mm/yy):
23. Position:
24. Company Name:
25. Start Date (mm/yy):
26. End Date (mm/yy):
27. Position:
28. Company Name:
29. Start Date (mm/yy):
30. End Date (mm/yy):
31. Position:
32. Volunteer Experience
33. Name of Organization:
34. Start Date (mm/yy):
35. End Date (mm/yy):
36. Position Held:
37. Name of Organization:
38. Start Date (mm/yy):
39. End Date (mm/yy):
40. Position Held:
41. Name of Organization:
42. Start Date (mm/yy):
43. End Date (mm/yy):
44. Personal or Professional References (Please provide two)
45. Full Name:(required)
46. Full Name:(required)
47. Full Name:
48. General Questions (**Questions 3 & 4 are for returning counselors only)
49. 1. Will you be taking any college course or exams during camp?(required)
50. 2. Why are you interested in applying to volunteer at Camp Al-Hilal?(required)
51. 3. What did you enjoy most about Camp Al-Hilal?
52. 4. What were some of the challenges you faced as a counselor?

 

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