polaroid-212.jpg
Greetings from Camp MITIOG!

COUNSELORS:

Ages 18 or over, at least three years older than their assigned camper & previous experience in camping.

COUNSELORS-IN-TRAINING:

Ages 16 or over, at least three years older than camper.  High maturity level & hard working.

Camp MITIOG is accredited by the American Camp Association Share, Inc.

7615 N Platte Purchase Dr
Suite 116
Kansas City, MO 64118

2017 Counselor Application
All items marked with a "*" MUST be answered. If you do not see a confirmation that your form has been sent after clicking "Apply", correct the items in red.

Your Name:*


Your Age:* Invalid Input  Please select one.

Address:*
Street: 
City:   State:   Zip: 
Please enter your street address Please enter the City The State is missing Please remember your ZIP code
Phone Number:*

We need your phone number
E-Mail:*

We require your e-mail address
Birthdate:*

Please enter your birthdate
T-Shirt Size:*

Please tell us your shirt size
Do You Have A Lifeguard Certificate?*

Please select YES or NO
Previous Camp Counseling Experience:

Invalid Input
Other Relevant Experience:

Invalid Input
Special Interests:

Invalid Input

Three REFERENCES Are Required (please do not list members of your family):

Reference Name:*

3 REFERENCES ARE REQUIRED
Relationship:*

What is your relationship with this reference?
Phone Number:*

Please provide your reference's phone number
Address:
Street:
City: State: Zip:
Invalid InputInvalid InputInvalid Input


Reference Name:*

3 REFERENCES ARE REQUIRED
Relationship:*

What is your relationship with this reference?
Phone Number:*

Please provide your reference's phone number
Address:
Street:
City: State: Zip:
Invalid InputInvalid InputInvalid Input


Reference Name:*

3 REFERENCES ARE REQUIRED
Relationship:*

What is your relationship with this reference?
Phone Number:*

Please provide your reference's phone number
Address:
Street:
City: State: Zip:
Invalid InputInvalid InputInvalid Input


Please Enter the Number Shown:
Please Enter the Number Shown:

Invalid Input