Counselor In Training Application

Student's First Name

Student's Last Name

Name of School

Graduation Year

List your previous work, volunteer, and/or extra-curricular experience. Start with the most recent.

Tell us why you would like to be a Counselor-In-Training?

What are your strengths and challenges?

Briefly describe a time when you have served as a leader.

Briefly describe a time when you have had to work with a team.

Participant Agreement

I attest that all information provided is correct. I understand that the Counselor In Training program requires me to attend one week of training on June 26 - June 30, 2023 and to volunteer at a City of Auburn summer camp for at least 100 hours between July 10 - August 25, 2023. If I am selected as a Counselor In Training l agree to meet all program and attendance requirements.

I agree

Parent

By applying to the Counselor in Training program, your child is making a commitment to take part in a service-learning program. This form is to verify that you understand that the Counselor in Training program requires your child to attend one week of training on June 26 - June 30, 2023 and to volunteer at a City of Auburn summer camp for at least 100 hours between July 10 - August 25, 2023. If your child is selected as a Counselor in Training you agree to assure that he/she meets all program and attendance requirements.

I agree

All applications are reviewed in confidence and applicants will be notified in writing of the selection decision.

I have read and understand the Counselor In Training program requirements, including the attendance requirements as stated above. My child has my support and permission to participate in the Counselor In Training program.

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.