Skip to main content
PSA
Coaches HQ
Background Checks
Sign in
Camp Counselor Application
Applicants must be at least 14 years old.
FirstName
MiddleInitial
LastName
Address
City
StateCode
ZipCode
HomePhone
MobilePhone
Email
BirthDate
Worked as a counselor?
Select
No
Yes
CounselorExperience
AvailableStartDate
AvailableEndDate
Played varsity sports?
Select
No
Yes
SportsPlayed
School
CurrentGrade
LastCompletedGrade
SportsCanTeach
FlexibilityStatement
ReferredBy
Electronic agreement
AuthorizationFirstName
AuthorizationLastName
I agree and electronically sign this application.
Submit application