AC Application Form

AC Application

This form is for AC applicants to complete online

Name

First Last

Gender

Phone

Email

Adress, city, state, zip

Birth Date

High School & grade completing (school name, grade, city)

Parent/Guardian Name

Parent/Guardian Address

Parent/Guardian Home Phone

Parent/Guardian Work Phone

Home Congregation

Pastor

Congregation Address

How many years have you been a camper at Camp Shalom?

Have you been an Assistant Counselor before?

How is Christ important in your daily life? How do you live out your faith?

Why would you like to work at Camp Shalom as an Assistant Counselor?

What can you contribute to the camping community?

Select the two-week periods you be available?

June 8-13, June 15-20

June 22-27, July 6-11

July 20-25, July 27-August 1

Were you aware AC's can attend Senior High Week at a reduced price?

Comments

This field is for validation purposes and should be left unchanged.

Feel free to use any of our photos

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