Your Name (required)

Your Email (required)

Your Address (required)

Phone (required)

Age (required)

Social Security Number

High School and Graduation Date (required)

Middle School and Graduation Date

Interests

Have you ever attended
Dutchess Arts CampThe Junior Art InstituteThe Art Institute

Please list each year you attended

Describe any experience you have had working with children or teens (required)

Have you ever worked as a CIT, Counselor, or Teacher's Assistant at:
Dutchess Arts CampThe Art InstituteThe Junior Art InstituteOther Camp

Describe your experience and responsibilities

Please list any relative work experience (up to 3) you have had with contacts and phone numbers. (required)

Please list three personal references including their name, contact, and phone number (required)

Please write a small paragraph describing why you would like to be a Counselor in Training at Dutchess Arts Camp (required)