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* 1. Name

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* 2. Current Age

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* 3. Date of Birth

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* 4. Best email address for communication (Please include your own and your parent/guardian's email)

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* 5. School and Current Grade

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* 6. Best phone number to contact you and your parent/guardian

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* 7. Will you attend all six weeks of the CIT program?

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* 8. If not, please indicate which week you will not attend. (A minimum of five weeks is required.)

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* 9. T-Shirt Size

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* 10. Why do you want to be a CIT?

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* 11. List some qualities that you feel an effective camp counselor possesses.

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* 12. Describe any past experiences you have had working with children.

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* 13. Write a paragraph describing what you hope to gain from your summer in the CIT program.

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