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?*

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?*