Survey | Qualtrics Survey Software

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Name:

Class year:

Sophomore
Junior
Senior

Major(s):

Are you a returning Camp Lloyd Counselor?

If you answered "yes" to the previous question, please write why you would like to return to Camp Lloyd

If you are a returning Camp Lloyd counselor, would you be interested in applying for the Head Counselor position?

Have you taken any psychology/human development classes? If so, please list these.

Have you taken Dying, Death, and Loss?

If not, would you be available to take this course Spring, 2011 semester?

Will you be available for at least six training sessions during the Spring 2010 semester and one additional training session prior to Camp Lloyd?

Will you be available to work the ENTIRE week of June 12th – June 17th 2011?

What experience have you had working with children ages 7 – 14? Please describe.

Have you ever been a camper or worked at a camp? If so, please describe these experiences.

Why are you interested in working in a camp for grieving children?

Have you had any significant loss in the past two years? If yes, please describe.

Do you have any hobbies or abilities (i.e., guitar playing, sports) that we could use in activities with the campers?

What is your GPA?

What strengths do you have that would make you an effective Camp Lloyd Counselor?

Are there any challenges you experience that may lead you to having a difficult time as a Camp Lloyd Counselor?

At this point in time, what are your plans for when you graduate?

What days/times are you available, during the first two weeks of November, for a brief interview?

How did you learn about Camp Lloyd?

Please list the names of TWO references, their relation to you, and phone numbers where they can be reached. Your references should NOT be relatives or close friends!

Please provide your e-mail and a phone number.