Junior Counselor Application

Greetings from Camp Kirkwood! Thank you for your interest in our Junior Counselor program. All applications will be reviewed by our Camp Kirkwood Director, Luke Dooley. After reviewing your application we will be in touch via the e-mail you provide with any further questions. This is a secure form and we will not use your personal information for anything other than the Junior Counselor program nor share it with any third parties. Fields that look like *this indicate that they are required.
Personal Information
First Name
Last Name
Preferred Name
Age and Grade Level
Shirt Size
Contact Information
Cell Phone
Email (receives confirmation)
Emergency Contact
Contact Name
Contact Work/Day Phone
Contact Home/Evening Phone
Contact Relationship
More Information
Why do you want to become a Junior Counselor?
What do you think is your best character trait? How will this trait help you as a Junior Counselor?
Please list any allergies, medicines taken, dietary restrictions, or other important information we may need to know about you here:
If there's anything else you'd like us to know about you, please write it here!