Camp CEO 2024 Youth Application

Welcome to the Girl Scout Camp CEO 2024 Participant Application!

Camp CEO will take place at Camp Butternut Springs in Valparaiso, Indiana on September 27-29, 2024!

We are so excited that you are interested in this program. Before you join us, we would like to get to know you more and discover how you can benefit from attending Camp CEO.

Once you complete the application, the Program Manager will reach out to you to schedule your Virtual Interview. The interview will be between 15 minutes and 30 minutes long. To help you prepare, we will send you materials upon scheduling your interview.

If you have any questions, please reach out to Jauzlyn Hardy at jhardy@girlscoutsgcnwi.org.

First Name *

Last Name *

Preferred Name

Preferred Pronouns

What Grade will you be in as of August 2024? *

If you chose "Other" in the question that asked about your grade, please tell us what grade you are in.

Phone Number *

Email *

T-Shirt Size *

Youth Headshot (Optional)

Home Address *

City *

State *

Zip Code *

We kindly request you to provide the following self-identifying information. We encourage the participation of individuals from various racial and cultural backgrounds, so your participation is appreciated. This information will be used for data purposes exclusively and will have no influence on the selection process. (Optional)

Camp CEO Past Experience

Have you participated in Camp CEO before? *

If you selected "Yes", please tell us in what year(s) you participated. (Select all that apply)

2020

2021

2022

2023

Who was your Camp CEO mentor when you attended?

Tell us more about you

What career field are you interested in? What do you want to be when you grow up? *

Which best describes your plans after high school? *

What career area are you MOST interested in? *

What are your favorite hobbies/special interests? (Pick your top 2) *

What does leadership mean to you? *

What do you wish to gain from Camp CEO? *

Please select the TWO outdoor activities that you would like to participate in. *

Archery

Rock Climbing

High Ropes Course

None

Please select a date and time that you would be available for a Virtual Interview. If none of the times listed work for you please provide a date in the space below. *