Counselor in Training Resident Camp Interest Survey 2015

Thank you for choosing to be a CIT for a Girl Scouts of Citrus Council Resident Camp. After completing this surevy and submitting it, we will verify your training and camp availability. Please note this does not register for summer camp. We are using this survey to obtain your interest and training.

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Question Title

* 1. Please indicate the level of leadership training taken.

CIT 1

Already Completed my Internship

This is my Internship Week

Date of Training

Question Title

* 2. Camp Weeks of Choice
(Based on Availability)
All CIT's will be assigned to a week of camp but not a specific camp. Each CIT understands that they will work where they are most needed for the week assigned.
If a camp is not listed, the camp is full or unavailable for leadership opportunities.

	Choices
1	1 Choices menu
2	2 Choices menu
3	3 Choices menu
4	4 Choices menu

If you wish to be assigned to two weeks of leadership opportunities, please indicate this below.

Question Title

* 3. CAMPER'S INFORMATION

Camper's First Name

Camper's Last Name

Camper's Date of Birth

Camper's Current Age

Camper's Current Grade

Troop #, Juliette or Not Registered

Girl Scout Level Fall 2014 - Summer 2015

Question Title

* 4. T- Shirt Size

Youth Medium 10-12

Youth Large 14 -16

Adult Small

Adult Medium

Adult Large

Adult Extra Large

Question Title

* 5. Parent / Guardian Information

Parent/Guardian’s First Name

Parent/Guardian’s Last Name

Street Address

City, State

Zip Code

Home Phone w/Area Code

County of Residence

E-mail Address

Work Phone w/Area Code

Cell Phone w/Area Code

Question Title

* 6. Additional Parent/Guardian Information

Parent/Guardian’s First Name

Parent/Guardian’s Last Name

Work Phone w/Area Code

Cell Phone w/Area Code

Question Title

* 1. Please indicate the level of leadership training taken.

Question Title

* 2. Camp Weeks of Choice (Based on Availability)All CIT's will be assigned to a week of camp but not a specific camp. Each CIT understands that they will work where they are most needed for the week assigned.If a camp is not listed, the camp is full or unavailable for leadership opportunities.

Question Title

* 3. CAMPER'S INFORMATION

Question Title

* 4. T- Shirt Size

Question Title

* 5. Parent / Guardian Information

Question Title

* 6. Additional Parent/Guardian Information

* 2. Camp Weeks of Choice
(Based on Availability)
All CIT's will be assigned to a week of camp but not a specific camp. Each CIT understands that they will work where they are most needed for the week assigned.
If a camp is not listed, the camp is full or unavailable for leadership opportunities.