KidsU Counsellor-In-Training Application
Applicant name
*
First Name
Last Name
Applicant phone number
Please enter a valid phone number.
Applicant email
*
example@example.com
Applicant date of birth
*
-
Month
-
Day
Year
Date
Parent/guardian name
*
First Name
Last Name
Parent/guardian phone number
*
Please enter a valid phone number.
Week(s) interested in attending (optional)
July 2-5
July 8-11
July 15-19
July 22-26
July 29-August 2
August 5-9
August 12-16
August 19-23
Unsure
References
Please provide the name and email address of two people who can provide a character reference for you.
Reference 1
First Name
Last Name
Email
example@example.com
Reference 2
First Name
Last Name
Email
example@example.com
Submit
Should be Empty: