First Name Last Name Sex Male Female Street City State Zip Date of Birth Telephone Email Have you previously attended Camp Kno-Koma Yes No Are you a diabetic Yes No Describe why you want to be a counselor. What are some of your personal growth goals for your time working at camp? * What do you believe is your greatest strength? What contributions can you personally make to enhance camp? Have you ever been convicted of any criminal offense other than a traffic violation? Yes No If so, please describe in detail.