CIT Application - Everwood Day Camp

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Parent's Name*

First Last

Parent's Home Phone*

Parent's Cell Phone*

Parent's Email Address*

CIT Email Address*

Date of Birth*

MM

DD

YYYY

Grade in School Next Fall*

School Attending*

How did you hear about the program?

Have you ever attended Everwood Day Camp before?*

Yes
No

Extracurricular Activities*

List any awards, honors, or certificates of achievements that you have received.*

Describe your experience with children and give ages.*

Describe any jobs, responsibilities, volunteerism, or personal experiences that have contributed to your personal growth.*

What are your three biggest strengths?*

What is something about yourself you would like to improve?*

What do you feel are two important qualities that a person must possess to be an effective leader?*

Describe an experience in which you acted as a leader.*

Why do you want to be a CIT?*

Are you able to commit to at least 3 of the 9 weeks of the Regular Camp Season beginning on a start week?*

Yes
No

Week 1: June 29 – July 3 Week 2: July 6 – July 10 Week 3: July 13 – July 17 Week 4: July 20 – July 24 Week 5: July 27 – July 31 Week 6: August 2 – August 7 Week 7: August 10 – August 14 Week 8: August 17 – August 21 Week 9: August 24 – August 28