2020 SCOPES Junior Counselor Application

Please complete the following application for the 2020 SCOPES Junior Counselor positions.

Applicant Name Applicant Name First Last
Applicant's Email

If the applicant does not have an email address, please use Parent email address.
Applicant's Phone Applicant's Phone - ### - ### ####

If the applicant does not have a phone number, please use Parent phone number.
Grade in Fall 2020
School attending in Fall 2020
Applicant's Birthday Applicant's Birthday / MM / DD YYYY
Applicant's Gender
Applicant's T-Shirt Size
Parent's Name Parent's Name First Last
Parent's Address Parent's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent's Email
Parent's Primary Phone Parent's Primary Phone - ### - ### ####
Parent's Alternative Phone Parent's Alternative Phone - ### - ### ####
Furman Employee?
Which weeks are you available to work this summer?

Please only select the weeks where you can work each day of the camp.

Which weeks are you available to work this summer?

Please only select the weeks where you can work each day of the camp. June 15 - 19 June 22 - 26 July 6 - 10 July 13 - 17
What age range of campers would you prefer to work with? You may select more than one option if you would like.

***Please note that program preference is not guaranteed!***

What age range of campers would you prefer to work with? You may select more than one option if you would like.

***Please note that program preference is not guaranteed!*** Microscope (Rising 1st & 2nd graders) Kaleidoscope (Rising 3rd, 4th, & 5th graders) Telescope (Rising 6th, 7th, & 8th graders)
Why do you want to be a SCOPES Junior Counselor?
What skills, talents or training do you have that will benefit you as a Junior Counselor?
Tell us about any experiences you have had working with younger children.
Registration Form submitted by:

Draw or Type

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Full Name

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