Staff and Counselor in Training
Application
Please return this form as soon as soon as possible.
Name_____________________________ Birthdate_______ Age____ Sex___
Soc. Sec. # _________________________________, Your email
address_________________________________________
Address__________________________________________________________________________________________________
Summer Adress (if
different)___________________________________________________________________________________
Home Phone ( ) ____________ Cel Phone(
_____)______________________
Parent's Home phone if different (
)__________________, Asics Shoe size___ Shirt size____
High School you attended _______________, College ____________ ,
Grade you'll complete this year ____ Major _____________
School Activities( Athletics, Clubs, Offices)
______________________________________________________________________
Certifications (CPR, Lifesaving, WSI, EMT, Eagle Scout, Gold
Star)___________________________________________________
Hobbies and Interests ________________________________
Summer Camps you have attended and years________________________
Running PR's and Accomplishments ___________________________,
_________________________, _____________________
References: (teachers, coaches, community or religious
leaders.)
Name __________________________________
Occupation____________________________ Phone_____________________
Name __________________________________
Occupation____________________________ Phone_____________________
Name __________________________________
Occupation____________________________ Phone_____________________
Staff Pay: $300.00* for 1st and 2nd year Runner's Workshop staff,
$325.00 for 3rd/4th year staff, $350.00 for 5 + years staff.
*Plus Room and Board and ASICS gear. $50.00 bonus for certified
lifeguards.
Which camps are you available for : _____ Lake
Tahoe (July 27-Aug. 1, 2008), ____ Malibu (Aug. 3-8, 2008), ____
Idyllwild (Aug. 10-15, 2008).