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Holt Adoptee Camp Counselor in Training Application

Please contact Nate Schiffer at [email protected] if you have any questions or concerns about applying to be a Holt Adoptee Camp Counselor in Training. Being a CIT is an experience you’ll always remember!

"*" indicates required fields

Staff Information

Name*
Address*
Date of Birth*
State your gender.
Age at Time of Camp*
I will be 18 years or older at the time of camp.
Domestic or International Adoptee
Adoption Agency

References

Please provide 3 references either personal (excluding immediate family members) or professional
Name*

Name*

Name*

Certifications (Health/Safety)

Please mark those for which you hold current certification:
Certifications

Please answer the following questions

Accepted file types: pdf, doc, docx, Max. file size: 256 MB.
Accepted file types: pdf, doc, docx, Max. file size: 256 MB.
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