2021 SummerART Lead Counselor Application

Applicant Information

// (mm/dd/yyyy)

Experience

Ceramics
Digital Art
Studio Art
Other
Ages 5-7
Ages 8-11
Ages 12-15
Children with special needs
YES
NO

Availability

Full-time 8:15am-3:30pm
Morning only 8:30am-12:30pm
Afternoon only 1:00pm-5:00pm
Full-time 8:15am-3:30pm
Morning only 8:30am-12:30pm
Afternoon only 1:00pm-5:00pm
Full-time 8:15am-3:30pm
Morning only 8:30am-12:30pm
Afternoon only 1:00pm-5:00pm
Full-time 8:15am-3:30pm
Morning only 8:30am-12:30pm
Afternoon only 1:00pm-5:00pm

Reference

Emergency Contact and Parental Consent

I, the parent/guardian of the above applicant, understand the requirements as stated in the application guidelines, and hereby give permission for my child to participate as a SummerART counselor

Supporting Documents

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