J Day Camps Summer 2024 - Counselor In Training (CIT) Volunteer Application

Counselors in Training must be entering 10th grade in Fall 2024.

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* 1. CIT Applicant Information

Full Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Date of Birth

Date

Date

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* 3. Grade you'll be entering in Fall 2024

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* 4. Parent/Guardian Name

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* 5. Parent/Guardian Email

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* 6. Person To Notify in Case of Emergency

Name

Relationship to You

Emergency Primary Phone Number

Emergency Alternate Phone Number

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* 7. At which location would you prefer to volunteer?

Staenberg Family Complex - Creve Coeur Campus

Marilyn Fox Building - Chesterfield Campus

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* 8. Please list any dates you are not available to volunteer May 31st - August 19th

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* 9. Publicity Consent
Volunteer authorizes and permits the JCC to use or publish volunteer's likeness in any form.

Agreement and Signature

I certify by entering my name below that the facts contained in this form are true and complete to the best of my knowledge. I understand that, if accepted as a volunteer, falsified statements on this form or any other application or volunteer documents shall result in termination of volunteer assignment when discovered. I agree that this form in original, faxed, photocopied, or electronic (including electronically signed) formats will be valid for any background reports that may be request by or on behalf of the JCC.

Full Name for Consent and Agreement

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* 10. Today's Date

Today's Date

Date