Camp Counselor Inquiry Form

Given name(s) Surname Date of Birth Gender Email Address

Country Code

Phone Number

Country of Citizenship Country of Residence Have you previously participated in a J-1 Camp Counselor Program?

How many times have you participated in a J-1 Camp Counselor Program?

Do you already have a contract with a camp?

Why do you want to work at a U.S. summer camp?

Do you have experience working with children?

Please summarize your experience working with children.

Skills and Hobbies (add up to 5 — at least one)

For each skill or hobby, choose your proficiency level and describe any certifications you hold.

Describe your experience with this skill in at least 275 characters, about 5-7 sentences

Host Camp Details

Host Camp Name Host Camp Contact Name Host Camp Contact Email Host Camp Website Your CV (PDF) Your Camp Contract (PDF)