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 Valpairaiso, 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. 
 
The last day to Apply for Camp CEO is July 19, 2024. 
 
If you have any questions, please reach out to Jauzlyn Hardy at jhardy@girlscoutsgcnwi.org. 
 
 

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

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

Tell us more about you

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

Health Infomation

Dietary Restrictions/Allergies (Select all that apply) *
 
Before participating in Camp CEO, you must complete Health/Medical Forms and Photo Release Forms. 
 
To access the forms, please click on the links below. Once the forms have been completed, upload them to the upload box below. 
 
Administering Medication to a Minor Form - Optional
Photo/Video Release Form - Required
Girl Health History Form - Required
Girl Health History Form in Spanish - Optional 
 

Once your application is received, the Program Manager will follow-up with you within 2-3 days. 

Thank You!

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