MIT Template - Primitive Pursuits, Ithaca

Name *

First

Last *

Last

Applicant Date of Birth *

Applicant Pronouns Used

Teen Applicant Phone (if you have one)

Teen Applicant Email (if you have one)

Parent / Guardian / Advocate Name *

Parent / Guardian / Advocate Phone Number *

Parent / Guardian / Advocate Email *

Have you ever been an MIT with Primitive Pursuits? *

Yes

No

Have you ever been a MIT 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 are some things you enjoy about being outside in Primitive Pursuits programs or other outdoor experiences? *

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

What skills or experiences do you hope to gain as an MIT with Primitive Pursuits? Examples could include: leading activities, create weekly plans within your instructor team, spend more time in nature, meeting and working with new people. Please list 3 to 4 other skills you would like to develop. *

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