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COUNSELOR / INTERN REGISTRATION
Camp Old Hickory 2025 Counselor/Intern Application
Please note that this application is for Counselors or Interns only.
Step
1
of
2
50%
Were you a Counselor, Intern or CIT during the summer of 2024?
Yes
No
Which of the following were you?
*
A Counselor in 2024
An Intern in 2024
A CIT in 2024
A Counselor, Intern and/or CIT another year, but not 2024
Other
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Home Phone
*
Cell Phone
*
Please enter 000-000-0000 if you do not have a cell phone.
Email
*
Birthday
*
Month
Day
Year
Example 05/23/2006
Sex
*
Male
Female
Current School
*
What grade will you be entering in the Fall?
*
9th
10th
11th
12th
College
Other
Shirt Size
*
AS
AM
AL
AXL
Adult Small - AS Adult Medium - AM Adult Large -AL Adult Extra Large - AXL
Parent's Name
*
First
Last
Parent's Phone
*
Sessions Available
*
Select All
Session 1: June 2
Session 2: June 9
Session 3: June 16
Session 4: June 23
Session 5: July 7
Session 6: July 14
Please check all sessions you are available.
Please list any new certifications (lifeguard or horses) or experience that you have acquired since the last time you worked at Camp Old Hickory?
Clubs and Extracurricular Activities
*
Please list all extracurricular activities you are involved in. (for example: Drama Club, Beta Club, Dance Team, Cheerleader, Swim Team, 4-H, etc.)
Experience
*
Please list any experience relating to the following areas: Horseback riding, swimming, canoeing, archery, and any sports such as soccer, football, baseball and basketball. In addition, please list any experience you have had working with children.
Qualities
Please list any qualities you would like us to know that you think would be beneficial as a camp counselor.
Schedule Request
*
Please list any special scheduling request (i.e., friends you want to work with, when siblings are attending camp, etc.)
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