CIT-Application - Primitive Pursuits, Ithaca

Name *

First

Last *

Last

Teen Applicant Email (if you have one)

Teen Applicant Cell Phone (if you have one)

Pronouns Used

She / Her

He / Him

Them / They

OtherOther

Parent / Guardian / Advocate Name *

Parent / Guardian / Advocate Email *

Parent / Guardian / Advocate NamePhone Number *

Applicant Date of Birth *

Have you ever been a CIT with Primitive Pursuits? *

Yes

No

Have you ever been a CIT or counselor at another camp? *

Yes

No

Have you participated in any Primitive Pursuits programs? *

Which weeks of summer are you available for being an MIT? *

Short Answer Questions

What activities interest you most in your life right now? *

What is an outdoor activity that you enjoy? *

What skills or experiences do you hope to share with younger kids as an MIT? *

What skills or experiences do you hope to gain by becoming an MIT with Primitive Pursuits? *

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