Camp Merriwood Programs and Fafilities

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	Staff
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Home > Staff

Apply Online

Application Form

Name:

Address:

City:

State:

Zip:

Home Telephone:

Work Telephone:

E-mail Address:

Social Security Number:

Date of Birth (mm/dd/yy):

Weight:

(optional)

Height:

(optional)

Sex:

Male Female

Have you had any criminal convictions for child abuse or
sex related crimes? No Yes

Number of years in camp as a counselor or equivalent experience:

Year:

Camp Name:

Camp Address:

Position Held:

Year:

Camp Name:

Camp Address:

Position Held:

What is your intended vocation?

What activities would you prefer to direct (list 3 in order of choice):

Activity 1:

Activity 2:

Activity 3:

What age camper would you prefer to have in your cabin?
(ages 8 through 15 - list 3 in order of choice)

1st Choice:

2nd Choice:

3rd Choice:

Salary at last camp:

Minimum Salary Expected:

Present year in college:

Name of College:

Leadership/Assistance Information

Choose an "X" by the activities below in which you have experience:

X = you can assist
XX = you are capable of coaching
XXX = expert - you have coached and are trained

Arts & Crafts
Batiking:
Ceramics:
Clay:
Copper Enamel:
Drawing:
Jewelry:
Native Crafts:
Painting:
Sewing:
Tye-dying:
Weaving:
Woodwork:

Camp Crafts
Mountain Climbing:
Nature:
Outdoor Cooking:
Overnight Camping:

Music
Choral:
Musical Instrument:
Song Leading:

Athletics
Aerobics:
Archery:
Basketball:
Field Hockey:
Golf:
Gymnastics:
Jogging:
Lacrosse:
Riding (English):
Soccer:
Softball:
Tennis:
Track:
Volleyball:

Dancing
Jazz:
Modern:
Square and Folk:
Tap:

Waterfront
Canoeing:
Life Saving:
Row Boating:
Sailing:
Swimming:
Water Pagentry:
Waterskiing:
Water Safety:
Date Expires:
Windsurfing:
Crew:

Dramatics
Directing:
Staging:

Miscellaneous
Campfires:
Drive Ski Boat:
Newspaper:
Photography:
Story Telling:
Rock Climbing:
Challenge Course:

Comments:

�1998-2005 Camp Merriwood, Orford, New Hampshire