Montecito Sequoia Family Camp
2010 KILT Program Application

Thank you for your interest in the Montecito Sequoia Family Camp KILT Program! The KILT Program (‘Kamper’-In-Leadership-Training Program) is a three-week leadership course for high school students, designed to teach participants about important leadership fundamentals, the importance and rewarding nature of hard work, and to instill the type of skills and work ethic we look for in members of our staff. The program structure consists of four parts: leadership training; assisting counselors in their activity areas; “nitty-gritty” work; and free time to enjoy camp activities. There are four levels in the KILT Program – KILTs I-IV – with varying levels of responsibility. KILTs are assigned to KILT Cabins (male and female) and live with either the KILT Director or KILT Counselor. To apply for a KILT session, you must at least be entering the 9th grade next fall. We will be accepting 8 boys and 8 girls for each three-week session.

The application below is the first step towards becoming a Montecito KILT. Sections 1 and 2 must be completed by the KILT Applicant. Section 3 must be completed by a Parent or Legal Guardian. All fields must be answered, as applications with missing information will not be processed. A $100 application fee is required before the application is processed. You will be contacted for payment option upon receipt of your application.  Applications will only be accepted between January 1st, 2010 and April 1st, 2010.
 

SECTION 1: KILT INFORMATION

This section of the Online KILT Application is to be completed by KILT Applicant

General Information
First Name
Last Name
Nickname
Age
   
   
Home Address
City    State  Zip
Home Phone Alt. Phone        
Email Address:  
     
School Name   Grade in Fall 2010
        Session Preference:
Are you a new or returning KILT?New Returning   Session 1 (June 27-July 17, 2010)
Week #2 - 4
 If Returning. # of years as KILT?      Session 2 (July18-August 7, 2010)
Week #5 - 7
Gender?Male Female     Session 3 (August 8-August 28, 2010)
Week # 8 - 10
           
       
       
         
What responsibilities do you assume at home?
 
 
What do you enjoy doing for fun?
 
 
How would other people describe you?
 
 
What has been the biggest challenge you have faced this year?  How have you grown from this?
 
 
What personality strengths can you contribute to the KILT program?
 
 
Why do you feel that you are ready for leadership training and should be selected to be in the KILT Program?
 
 
Areas Interested in Majoring/Minoring at Camp?
 
Camps previously attended, if any.
 
Health: Do you have any health conditions of which we should be aware?  Yes No
If yes please explain:
 
Should any precautions (out of the ordinary) be considered in planning your program? Explain
 
 
Do you consider yourself well and strong enough to carry on the rather strenuous program at Montecito Sequoia?
Yes No
 
Montecito Sequoia does not allow smoking or the use of illegal drugs.  Will you comply with this rule?
Yes - I will comply with Montecito Sequoia's not tolerance policy towards alcohol, smoking & illegal drugs.  
No - I do not agree with the no tolerance policy.
 
Additional Comments:
 
Applicants Initials:

 

 

SECTION 2: REFERENCES (New KILTs only)

References: Please give the names and school addresses of (2) Two teachers with whom you have studied during the last few years, or who know you personally.  (1) One family friend or former camper can be listed as a reference.  PLEASE MAKE SURE ALL INFORMATION IS CURRENT.  We request that parents check the names and addresses of the teachers and schools.  Please use school addresses for the teachers.  Please download reference form here.  All references must be mailed to 2225 Grant Rd. Suite 1 Los Altos, CA 94024 within 2 weeks of applying for application to be considered completed.
 
1. Name School
Address  City   State   Zip 
Email Phone
 
 
2. Name School
Address  City   State   Zip 
Email Phone
 
 
3. Name School
Address  City   State   Zip 
Email Phone
 
 

 
SECTION 3 : PARENT OR GUARDIAN INFORMATION

This section of the Online KILT Application is to be completed by Parent or Legal Guardian

Name of Parents or Guardians
Father or Guardian   Mother or Guardian
Occupation   Occupation
Business Name   Business Name
Home Address   Home Address
Phone   Phone
Email Address   Email Address
 
 
Name of Person(s) to be addressed in camp correspondence 
 
 
Person to be billed ( if different from above )                          
 
 
Please list names of sources from which you heard about Montecito Sequoia.
 
KILTS are actively engaged in sports and unorganized play while at Montecito Sequoia.  KILTS and Parents need to be fully aware of the program and understand risks involved in participating in such a program.  KILTS are asked to notify activity counselors or camp nurse if they are fatigued.  KILTS agree to cooperate in Health and Safety standards as set forth by the Montecito Sequoia.  Any care required outside of our infirmary, or for special health services will not be paid by the KILT or Guardian.  In case of accident or sickness, Montecito Sequoia has my authorization to secure such medical attention at Children's Hospital as is deemed necessary.  All KILTS must complete and submit our Health Record Form.

By initialing below I confirm that I have read the application form, KILT Literature and agree to conform to the regulations of Montecito Sequoia.  I acknowledge the $100.00 application fee is required and I will be contacted for payment options.  The fee is to be paid within 30 day of the application submission date.   I agree that the camp may  use any pictures taken during camp time and that the camp directors reserve the right to refuse and application or dismiss a child from camp without refund for misconduct or unsocial behavior.

Parent or Guardian's Initials       

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