Camp Instructor Application
Current and former BYU Cougarettes only
*ALL FIELDS ARE REQUIRED
First Name:
Last Name:
Home Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsion
Wyoming
Zip Code:
Cell Phone:
Email Address:
(One you will access year-round)
Password:
Date of Birth:
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
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9
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11
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13
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15
16
17
18
19
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21
22
23
24
25
26
27
28
29
30
31
Year
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
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1954
1953
1952
1951
1950
1949
1948
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1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
Social Security Number:
(No spaces or '-' characters)
Airports:
Enter the airport codes of the two closest airports to you (for example : SLC)
Airport 1
Airport 2
Airlines:
Enter your prefered airlines and frequent flyer numbers:
Airline 1
FF#
Airline 2
FF#
Health:
List any injuries or health problems you have which may affect your ability to work:
Do you have a car that you can drive?
Yes
No
Are you willing to travel out of state?
Yes
No
Availability:
Your availability during the summer is a huge factor in determining how many camps you will have on your schedule. We request that you be available for at least four full weeks during the summer.
Place a check mark next to the weeks that you will be available.
Week of May 19, 2008 - May 23, 2008
Week of May 26, 2008 - May 30, 2008
Week of Jun 02, 2008 - Jun 06, 2008
Week of Jun 09, 2008 - Jun 13, 2008
Week of Jun 16, 2008 - Jun 20, 2008
Week of Jun 23, 2008 - Jun 27, 2008
Week of Jun 30, 2008 - Jul 04, 2008
Week of Jul 07, 2008 - Jul 11, 2008
Week of Jul 14, 2008 - Jul 18, 2008
Week of Jul 21, 2008 - Jul 25, 2008
Week of Jul 28, 2008 - Aug 01, 2008
Week of Aug 04, 2008 - Aug 08, 2008
Week of Aug 11, 2008 - Aug 15, 2008
Week of Aug 18, 2008 - Aug 22, 2008
Week of Aug 25, 2008 - Aug 29, 2008
Knowledge
On a scale of one to five (1=weak, 5=strong) please rate your knowledge and ability to teach each of the following areas:
Jazz:
1
2
3
4
5
Pom:
1
2
3
4
5
Hip Hop:
1
2
3
4
5
Character:
1
2
3
4
5
Ballet Technique:
1
2
3
4
5
Military:
1
2
3
4
5
Lyrical:
1
2
3
4
5
Kick:
1
2
3
4
5
Leaps/Turns:
1
2
3
4
5
Experience:
Dance Team, Studio Experience, and Honors:
Teaching Experience:
Why do you feel you would make a strong instructor:
Terms:
Carefully read the initial terms of employment. If you agree, check the box
If hired by PDC as a camp instructor, we will be sending you a complete control contract has much more detailed information relative to our expectations of contracting employer.