Educational Resources for Children, Inc.
Educational Resources for Children • 119B Post Road, Enfield CT, 06082   •   (860) 253-9935   •   info@erfc.us

COUNSELOR IN TRAINING (CIT) APPLICATION
Summer Escape Camp at JFK Middle School, Enfield, CT
Please complete each section below. Items in red are required.

PERSONAL INFORMATION
Name: Date of Birth:
Full Address:
Phone: Cell:
Email Address:

       School Name:      Grade in Fall:      Year Graduating:
           Town, State:
PERENTAL CONTACT
Parent Name: Telephone:
Parent Email:
EXPERIENCE
Please list all activites such as hobbies, sports, youth groups, and clubs.
Activity: Location Yrs. Involved

Please list all summer camp experiences
Camp Name and Location Type (Day/Overnight) Yrs. Involved

Please describe any experience you have working with children:
    
What activities do/would you enjoy doing with children:
    
AVILABILITY
SUMMER - Minimum of 2 weeks, 8 AM to 3 PM,  Monday - Friday
What week(s) are you available?     Wk1-July 5-7     Wk2- July 10-14     Wk3- July 17-21     Wk4- July 24-28
                                                                Wk5 - July 31 - Aug 4     Wk6- Aug. 7-11     Wk7- Aug. 14-18
REFERENCES
If you have volunteered in the past, please include the organization's name and contact information.
Name:          Organization:
Relationship:          Telephone:

Name:          Organization:
Relationship:          Telephone:

Name:          Organization:
Relationship:          Telephone:

 UNDERSTANDING & SUBMIT

I understand that this is a volunteer position.  The information provided here is correct to the best of my knowledge.

 
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