Counselor Application – C.O. Mollenhour Camp

**Counselors applying should be between the ages of 15 and 24. This is an unpaid position.

Name *

First

Last

Phone * Email * address * birth Date * position applying for: *

Please check all that applY: *

I am a previous camper I am a previous counselor/counselor-in-training

I would like to help during:

Boys Week Girls Week

reference Name * relationship * company * Phone * address: * Tell us little about why you would like to be a mentor to our campers. * I certify by typing my name that all of my answers are true and complete to the best of my knowledge. Date