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* 1. Name

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* 2. Birth Date (MM/DD/YYYY) and Age as of today

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* 3. Email Address (please make sure this is one you check frequently)

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* 4. What grade are you currently in?

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* 5. Have you worked at Germantown Academy before?

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* 6. What was your role?

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* 7. Did you attend our CIT program? If so, when?

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* 8. What Camp are you interested in working in? You can select multiple options.

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* 9. What experience do you have working with children?

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* 10. How will you be a leader to your campers and in some cases, to your co-counselors?

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* 11. The pool and cafeteria are big blind spot areas, where issues such as bullying can take place without the counselors noticing. What can you do during these times to ensure that each camper is "seen"?

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* 12. Tell us something about yourself that you think makes you a good fit for this position.

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* 13. I agree to attend the mandatory orientation on June 15th, 2019 and that failure to attend will result in forfeiting my position.

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* 14. I agree to complete all mandatory paperwork before the start of camp and understand that failure to do so, will result in forfeiting my position.

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* 15. What weeks are you able to work?

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