Junior Counselor Application Name* First Last Date* Date Format: MM slash DD slash YYYY Birth Date* Date Format: MM slash DD slash YYYY Current Grade 2020/2021 School Year:*11th (junior)12th (senior)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Applicant Phone*Gender*FemaleMalePreferred PronounsApplicant Email:* Parent/Guardian Name* First Last Parent/Guardian Phone*Parent/Guardian Email* Have you completed the CIT program at Y Camp?*YesNoWhat year?*Circle any certification that you hold that are valid through the coming summer. Lifeguard Certification WSI or Equal CPR First Aid List any other certifications if applicable.What makes an outstanding camp counselor?*Which of your personal strengths do you feel will be most helpful to your success as a camp counselor? Why?*If a sibling or relative wanted to come to camp, what would you tell them about to encourage them to sign up?*Please list the "camptivities" you helped with as a CIT(i.e. archery, mountain biking, etc...):*What activities would you like to teach campers? These can be existing camp activities or new ideas you have.*Summer Schedule To help coordinate the scheduling of counselors for each week, we need your best guess at which weeks you would like to work this coming summer. Junior counselors are asked to serve a minimum of 2 weeks as a counselor—you may work more than 2 weeks if desired. If possible, consecutive weeks are also preferred. If you are uncertain about your schedule, please select "unsure" at this time and email availability as soon as it is confirmed. *Staff training, June 6–11, 2021, is required for all junior counselors and IS NOT considered one of your two-week minimum. Please call the camp coordinator if you have potential conflicts.Please mark the weeks that you are available:* June 13–18 June 20–25 June 27–July 2 July 6–9 July 11–16 July 18–23 July 25–30 August 1–6 unsure Volunteers are also welcome and needed for each of our family camp sessions. Please mark any that you would like to help with:* May 28–31 (Memorial Day) July 3–5 (4th of July) September 3–6 (Labor Day) unsure Consent* I attest that all statements on this application are true, that I am aware of staff training dates and that I can attend the entire training.