Send Completed Applications to: Camp Kno-Koma, PO Box 224, Dallas,
WV 26036-0224
Applications must be postmarked by April 15, 2008
General Information
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Last Name
First
M.I. |
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Date
of Birth |
Sex |
Home Phone |
E-Mail Address |
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Street
Address |
City |
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County |
State |
Zip |
T-Shirt Size |
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Insulin
Type (e.g. Humulin, Novolin,etc.) |
Emergency
Contact Name and Phone Number |
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Have
you attended Camps in the past? If so, describe type (i.e. church camp,
4H, diabetes,etc) and how many years . |
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List
any special talents (singing, acting, etc.), skills (swimming, canoeing,
etc.), certifications (CPR, Lifeguard, etc.) or hobbies |
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Please attach to this application a letter describing the following:
Making the transition from camper to staff member is sometimes difficult. What problems do you think you might have with this transition?
What kind of training do you feel you need to become an effective staff member at Camp Kno-Koma?
Why do you feel you are a good candidate for the LIT program?
Describe a camp or school situation in which you helped another camper or student or took on a leadership role.
Please include reference letters (2 minimum) from the following suggestions:
· Educational reference (teacher, principal, guidance counselor)
· Community reference(volunteer work, church)
· Personnel reference (friend, coach, advisor, neighbor)
· Employer reference (babysitting included)