CLUB COUNSELOR INTEREST FORM:

If you are interested in becoming a Club Counselor, please fill in the following application.

What club are you interested in helping out with? If you have no preference, we will try to match you with the club closest to your home.

Name

First Name

Last Name

Nickname

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Home Phone

(###)

###

####

Your cell phone

(###)

###

####

Your email

School attending in the Fall

Grade & GPA

Mother's Name

Mother's Email Address

Mother's cell phone

(###)

###

####

Father's Name

Do you have any brothers & sisters? (Names & ages)

How did you hear about the Girl's Clubs?

Did you ever attend Avanti Leadership Program?

What Hobbies do you have?

Why do you want to be a Counselor?

Counselors are role models for the girls in the Club,. How conscientiously do you struggle to consistently obey your parents quickly, cheerfully, and completely? How effective are you in this struggle? Please explain. (You may, for example, specify particular areas of success, growth, or continuous struggle.)

The activities run by Sheridan Center & Featherock prepare you in the spirit of service needed for being a Club Counselor. Please list the activities you have attended on a regular basis this year. (Ie: UB, AOL, Study Weekends, Days of Recollection, Visits to the Elderly or Homeless, Retreat…, etc)

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