Support NHS

1.

Please tell us a little about yourself...

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

*

Date of Birth: Required

Date of Birth:

Yes, I would like to receive e-mail from Nebraska Humane Society

Yes, I would like to receive postal mail from Nebraska Humane Society

Keep me logged in. What's this?

2.

Question - Not Required - Phone number we can text you on:

3.

Question - Not Required - What age will you be when camps begin in June (Counselors are required to be 15 at the time of the camps start date)

*4.

Question - Required - Why do you want to become a camp counselor?

*5.

Question - Required - What experiences do you have with either kids or animals?

*6.

Question - Required - What do you hope to gain from this experience?

*7.

Question - Required - Emergency contact full name and phone number

8.

Question - Not Required - Camp t-shirt size:

*9.

Question - Required - How did you hear about Camp Kindness counselor positions?

*10.

Question - Required - Have you ever been a Camp Kindness counselor before? If so when?

11.

Question - Not Required - Do you have any allergies?

*12.

Question - Required - Is volunteering for Camp Kindness part of community service hours you need? Please give us some details...

2023 Camp Kindness Counselor Application

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