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.

Host Camp Details

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