PhoneThis field is for validation purposes and should be left unchanged.Thank you for your interest in returning to Northern Pines as a CCA! After applying, you and your parent or guardian will receive an email confirming the submission of your application. Your parent will receive a note about the week you applied to serve and the person you listed as a reference; if you include your own email, you will receive a full receipt of your application. The application confirmation does not mean you will or won't be a CCA, just that we received your application. We will review applications and followup in March. Please contact us at CCA@npines.org if you have any questions.Please note, if you leave or refresh this page before successfully submitting the form, your progress will not be saved. Your InformationName(Required) First Last Nickname or Preferred NameFor initial communication, our system will use your first name, but it is helpful to know if you go by a nickname.Gender(Required) Female Male Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age at camp(Required)Grade Next Year(Required)Please select the grade you will be going into after camp (not the grade you are currently in when applying). 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade First Year after High School Potential FeesCCAs do not pay for their week at Northern Pines. However, there are fees if you stay for the transition weekend, if you choose to take the bus to/from Minnesota, or if you request a special diet for the week. You will have an opportunity to confirm these choices later. More details will follow closer to camp. I might stay on campus for the transition weekend I might take the bus from Minnesota to Green Lake before week 1 I might take the bus from Green Lake to Minnesota after week 2 I might need a special diet for the week Service DetailsWhich week(s) are you applying to serve?(Required)Please review the upcoming conference details for the specific dates. You will need to arrive on campus by 2 pm on Sunday. Week 1 Week 2 Both Weeks My Childcare Experience(Required) I don't have a lot of babysitting experience I've participated in a babysitting training course I have been babysitting for less than a year I have about one to two years of babysitting experience I have more than three years of babysitting experience I have experience with young babies and changing diapers I have experience with toddlers and toddlers in diapers I don't have a lot of experience with babies/toddlers, but have experience with older kids Why do you want to serve as a CCA again?(Required)Anything else you'd like to add about your application?If accepted, you will have an opportunity to share more specific requests when filling out your CCA confirmation form. Specific requests shared here will not be saved.ReferencesAll applicants—new and returning—are required to provide one reference. These references cannot be related to you (sibling, parent, aunt, grandparent etc.). References should not have connections to Northern Pines and should be someone who has interacted with you within the last year. Please communicate with your references before submitting this form. We will email them with a link to the reference form on our website.Permission to Contact References(Required) You have my permission to contact my references on my behalf to ask them to fill out a reference form online. Reference Name(Required) First Last Reference Email(Required) Enter Email Confirm Email Reference Phone(Required)How do you know this reference?(Required)Applicant's Contact InformationFor all minors, our primary email communication will be to your parent or guardian's email address. 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