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Counselor Registration Form

 
  *  First Name:
  Middle Initial:
  * Last Name:
  * Gender:
  * Session:
  * Street Address:
  * City:
  * Country:
  * State:
  * Zip code:
  * Email Address:
  * Primary Phone: Ex: 111-222-3333
  Secondary Phone: Ex: 111-222-3333
  *  Date Of Birth: Ex: 10/10/1990
  *  T-Shirt Size:
  *  Academic Class This FALL: :
  College Name:
  College Address:
  * Parent Name:
  * Parent Address:
  * Parent City:
  * Parent Phone: Ex: 111-222-3333
  * Parent Email:
  * How long have you lived in North America:
  * Languages spoken at home:
  Indian languages you speak and level of fluency:
  Travel Information:
  What exposure have you had to Indian Culture and Hindu religion?:

  *  Activities and Clubs you might be interested in : Audio Visual:                               


Bhajans:                                     


Earth Olympics:                        


Puja:                                             


Camp Fire:                                 


Yoga:                                            


Newsletter:                                 


Camp Songs:                             


Sports and Games:                   


Dance/Media:                            


7 Days to make a Difference: 



  Certifications :
  Camp experience : Have you ever attended the Hindu Heritage Summer Camp:
If Yes, how many years total?
What was the last year you attended?  
  *  Personal Statement : For first time Counselors applying:
1). Please include one letter of recommendation from a non-family member. This can be an adult volunteer or camper parent, past directors, teacher, employer, or guidance counselor. Please mail it to:

Sumati K. Jain
420 Elmington Ave
Apt. 705
Nashville, TN 37205

Your application will not be processed until the photo and reference letter is received.

2). Please write an essay in the area below that addresses the following issues.: Please describe your skills and abilities that will help you as a role model and counselor for such a diverse group of kids between the ages of 8 to 16 years. Please describe any past experience you have had in directing small group discussions, peer counseling, teaching, or camp counseling. Briefly discuss your personal as well as spiritual objectives in attending camp.

3). Please send a digital photograph of yourself to the following email address sumatikjain@gmail.com. Please make sure the subject field is filled out as follows: Counselor Applicant (your name), Session (1 or 2). The name of the photograph should be your LastName_FirstName.jpg (or whatever file format).

For returning Counselors:

 1). Please answer the following questions in paragraph form. Briefly describe your last experience as a counselor at HHSC. Discuss where you felt you performed well and where you would like to improve. Discuss both your future aspirations as a camp staff member. Please specify if you desire to come back in future years and if you have any interest in leadership positions at camp.

2). Please send a digital photograph of yourself to the following email address sumatikjain@gmail.com. Please make sure the subject field is filled out as follows: Counselor Applicant (your name), Session (1 or 2). The name of the photograph should be your LastName_FirstName.jpg (or whatever file format).

  Sign In Credentials
Please make a note of your login credentials,
you will be required to login to the site in order to update information like travel information.
  * Password:
  Verification: I certify all the information is honest and accurate to the best of my knowledge.  
     
 

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