Thank you for applying for a 2018 Camp Green Zone counselor position. Please answer questions and Rosemary DeRose, Camp Director will be in touch.

What position are you applying for?

What is your legal name: First, Middle, Last?

Date of Birth?


Your cell phone number?

Parents Name?

Parents cell and work number?

Emergency Contact and Phone Number?

Your email address?

Email address for parents?

Please provide any work or volunteer experience?

Is your family a current DSRC member?

Can you work a 30- 35 hour week outside?

What weeks are you available to work 30-35 hours per week from 8:30 am-3:30 pm M-F? *

What is your tshirt size?

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