183849.doc - 2018 Primary Camp Counselor Application Applicants are to submit this form to your club leader by March Club Meeting Club leaders will

183849.doc - 2018 Primary Camp Counselor Application...

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2018 Primary Camp Counselor Application Applicants are to submit this form to your club leader by March Club Meeting. Club leaders will return form to the 4-H Office on or before March 15 . Minimum requirements: 12 years of age by December 31, 2017 and enrolled in 7th - 8th grade. We will consider 6th graders, if there is a need. Interviews: April 13, 2018 Primary Camp will be held May 19-20, 2018. Counselors and staff arrive on May 18 th (Friday) Name: ____________________________________ Club: ______________________________ Address: ______________________________ City____________________ Zip__________ Phone: _____________________ Date of birth: _________________ Age: _______ Sex: M or F Email Address: __________________________________________________________ 1. Have you attended Primary Camp before? Y or N 2. Have you attended 4-H Camp before? Y or N 3. Have you attended any other camps? If yes, which one(s) and when. ________________________________________________________________________________________________________ 4. Have you ever been a counselor? When and where? ____________________________________________________________________________________________________________________________
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