All information provided will be accorded confidential treatment and will be used for statistical purposes only; the statistics will be presented in such a manner that no individual person or facility can be identified. DEPARTMENT OF HEALTH, EDUCATION AND WELFARE PUBLIC HEALTH SERVICE CENTER FOR DISEASE CONTROL - ATLANTA, GA. 30333 CAMP PROFILE 2. 1-3 Mo. Day Yr. 4-6 4. CAMP ID NUMBER 5. 7. TYPE OF CAMP (Check all that apply) 8. SPONSORSHIP 8 9-10 9. NONPROFIT 10. WHAT IS THE AVERAGE CAMPING FEE PER SESSION? 11. 16-19 20 23 A. Do camper fees cover the full cost of camp YES - 2 NO B. Number of camperships given: - 3 22 -4 C. Does camp have a sliding fee? DIRECTOR DIRECTOR & STAFF Other (specify) 14. DESCRIBE QUALIFICATIONS AND TRAINING FOR PERSONS ACCEPTED AS COUNSELORS 13-14 15-16 17-18 19-20 21-22 23-24 By more than one camping director during the summer season? 15. IS THE CAMP OPERATED 25 -1 By one camping director during the summer season? HSM-750-1 (Page 1) 6-73 (Continued on Page 2) 37-569 O-74-26 OMB NO. 68-573043 |