YMCA Camp Campbell Cabin Leader Application

Thank you for your interest in volunteering as a Cabin Leader for YMCA Camp Campbell's Outdoor Science School!

This application includes dates through early April 2012. If you want to apply for later in the 2011-2012 school year, please keep checking back throughout the school year.

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Please complete this form to the best of your ability and submit it. Fields marked with a red asterisks (*) are required.

Want more information about our program before you apply? Just visit: http://www.ymcasv.org/ymcacampcampbell/outdooreducation/cabinleaders.html

Name * First Last
Age *
Date of Birth (You must be at least 15 years old to apply.) * / MM / DD YYYY
Gender * Male Female
Do you attend school (High School or College)? * Yes No
If yes, please list the school you attend:
If you are currently in school, what class year are you in? (You must be at least a high school sophomore to apply.)
Select the week(s) that you are available to be a cabin leader.

Please only apply for the week(s) that you can currently COMMIT to. If you can only commit to one or two weeks, select only those that work for your schedule. You do not need to select a specific week more than once.

If a week is listed as WAITLIST ONLY, it is currently full. You may apply for these weeks, and we will contact you if a space opens up. Otherwise, you may want to choose a week that is open.
1st Preference *

Please select weeks that you can commit to coming to camp. It is recommended that you select a 2nd and 3rd choice of weeks in case your first choice week does not have any available positions. You do not need to select a specific week more than once.
2nd Preference

Please select weeks that you can commit to coming to camp. It is recommended that you select a 2nd and 3rd choice of weeks in case your first choice week does not have any available positions. You do not need to select a specific week more than once.
3rd Preference

Please select weeks that you can commit to coming to camp. It is recommended that you select a 2nd and 3rd choice of weeks in case your first choice week does not have any available positions. You do not need to select a specific week more than once.
Have you worked or volunteered for YMCA Camp Campbell before? * Yes No
If Yes, please specify when you worked or volunteered.

Explain if you worked a previous week of Outdoor Science School, Summer Camp, etc. If you don't know exact times or dates, try to be as specific as possible. (**Examples** Week 14 - 2009 / Dec. 8-11, 2009 / Fall, 2009)
Contact Information
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Primary Phone Number * - (###) - ### ####
Primary phone: Type of phone
Alternative Phone Number - (###) - ### ####
Alternative phone: Type of phone
May we contact you by text message to your cell phone? * Yes No
Email address *
Confirm email address
What is the best way to reach you? (Please note: even if you prefer phone calls, you'll need to check your email so that we can send you paperwork, etc.!)
Relevant Experiences
Why do you want to come to YMCA Camp Campbell as a Cabin Leader for our Outdoor Science School? *
Describe a time that you were a leader or displayed leadership. How will that help you to be a successful Cabin Leader? *
What does it mean to be a good role model? How will you be one for your campers? *
What do you hope to contribute to Camp Campbell? *
What do you hope to gain from your participation at Camp Campbell? *
Have you ever been convicted of a criminal offense (felony or misdemeanor)? * Yes No
Please be honest with the following information. A "Yes" does not mean that you are ineligible to be a Cabin Leader. Likewise, a "No" does not guarantee that you will be accepted as a Cabin Leader.
If Yes, Please use the following space to explain.
Please check the box if you agree to the following statement. If you cannot agree to the statement, please change the information in the application accordingly. * The information I provided is current and accurate to the best of my knowledge. If any information changes after I submit the application, it is my responsiblity to notify the Cabin Leader Coordinators.

YMCA Camp Campbell Cabin Leader Application

YMCA Camp Campbell Cabin Leader Application

Contact Information

Relevant Experiences