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First Name *

Last Name *

Email *

Phone *

Address *

Address (cont.) *

City *

State *

Postal / ZIp *

Date Available *

Are You a citizen of the USA? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Position(s) you are applying for: *

ADK Family Camp Session 1 - June 22-25 (ages 18-28 only)

ADK Family Camp Session 2- June 29 - July 2 (all ages)

ADK Family Camp Session 3- August 18 -21 (all ages)

Community Connections Counselor

Community Connection Lead Counselor- July 9 - August 8- Monday-Friday 8:30-2:00

Experience working with individuals with special needs: *