Direct Placement Application Form

Please do not fill out this form until you have already arranged your own placement at a camp.

You can download the complete Direct Placement Application here.

If you choose to fill out the online section of the application (preferred) please download the supplemental forms and submit them as soon as possible. We will keep your online application on file until we receive these additional forms.

The supplemental documents needed to complete your application are:

Police background check
Signed terms & conditions
Skills reference
Medical report
Camp contract
Proof of student status (for support staff only)
Passport photos
Photocopy of passport
All fees

Camp Information

Camp Name *

Camp Director's Name *

Camp Phone Number

Camp Fax Number

Camp Email

Your position at Camp *

Personal Information (as it appears on your passport)

First Name *

Middle Name

Last Name *

Date of Birth *

Contract start date *

Contract end date *

Gender *

Male

Female

Country of citizenship *

Country of legal residence *

City of birth *

Country of birth *

Applying for (select only one and complete the rest of the application accordingly) *

Counselor

Support Staff

Are you a student? (those applying for support staff positions must be full time students) *

Yes

What type of student are you?

Name of school

Field of study

Anticipated graduation date

Please provide use with information about your job

Name of current employer/company *

Position/Occupation *

Length of employement *

Have you ever participated in an exchange program in the U.S.? *

Yes

Correspondence Information

Please enter the address in your home country where we should send the sponsorship paperwork

Street Address *

City *

State/Province *

Postal Code *

Country *

Enter a home or mobile telephone number is required.
Phone (with country and city codes) *

Mobile Phone (with country and city codes) *

Email *

Emergency Contact (English-speaking)

First Name *

Last Name *

Relationship to you *

Street Address *

City *

State/Province *

Postal Code *

Country *

Phone (with country and city codes) *

Email *

Friend/Family Contact in the United States

Do you have a friend or family in the U.S.?
(If you anser yes you must enter the following information.) *

Yes

Medical History

Are you in good health? *

Yes

Do you have any physical disabilities? *

Yes

If yes, please describe

Do you have an dietary restrictions? *

Yes

If yes, please describe

Have you ever or are you currently suffering from an eating disorder? *

Yes

If yes, please describe

Do you have any allergies or special medical requirements? *

Yes

If yes, please describe

Have you ever suffered from a behavioral health disorder? *

Yes

If yes, please describe

Visa History

Have you ever applied for a United States visa before?
If you answer yes you must enter the following information *

Yes

If yes, form what country did you apply?

What was the final decision of the U.S. Embassy/Consulate?

Passport Numbers

Past Experience

Please list two of you past jobs (paid or voluntary) and in 2 or 3 sentences below describe how they will be relevant

Name of Company *

Dates of employment *

Details *

Name of Company

Dates of employment

Details

Camp Placement

Please list the position you will have at camp this summer, and in 3 or 4 sentences, describe your job responsibilities and/or daily role at camp.

Job Description *

Questions? Contact Us

Direct Placement Application Form

Camp Information

Personal Information (as it appears on your passport)

Correspondence Information

Emergency Contact (English-speaking)

Friend/Family Contact in the United States

Medical History

Visa History

Past Experience

Camp Placement