2018 COACH-IN-TRAINING APPLICATION



Your Experiences

Summer Camp Experience 
 YearName of CampLocation of CampCamper, Volunteer or Staff?
1
2
3

Experience in Clubs, Sports, and Other Organizations or Volunteer work within your school or community:
 Name of Club/TeamOrganizationYears as MemberRole/Responsibilities
1
2
3

Job or Work related experience:
 Company NameJob TitleResponsibilitiesDates of Employment
1
2

Current Certifications (Such as CPR, First Aid, Lifeguard, Babysitting, etc.):
 Type of CertificationIssuing OrganizationExpires
1
2

Short Answer


Commitment

Please indicate the summer weeks you are available (minimum of 4 weeks): ***Please note that if selected for the CIT program, the cost is $50/week***
Please read carefully: 

-I certify that all of the information on this form is accurate and complete.

-I certify that I, the applicant, answered all short answer questions and not my parent/guardian or anyone else.

-I understand that if accepted into the Coach-In-Training program, I will be

expected to conduct myself in a manner consistent with the rules/policies of Super Stars Camp.

Applicant Signature: *
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I give my permission for my child/ward to apply for acceptance to the Coach-In-Training

program, and will support my child/ward should he/she be accepted into the program.

Parent/Guardian Signature: *
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