4-H CAMP COUNSELOR APPLICATION
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1 4-H CAMP COUNSELOR APPLICATION Name Age Cell # Text Y N Home Phone: Address Number of years as a Youth Leader Years in 4-H Today s Date Grade Currently in Counselor Requirements Camp I completed 9 th grade by time of camp Camp II completed 10 th grade by time of camp Completed one year of Youth Leadership or other Leadership experience. Have your Key Leader plus one more adult complete and return the recommendation form. (Where Key Leader is a parent, another leader must complete it). These are required for an application to be complete. All 1st year Camp Counselors are required to attend Camp Counselor Training before serving; this will be announced soon. Camp will be June 24 June 28, with counselors arriving on June st year counselors will be helping at 1 st camp only. *APPLICATION DUE FEBRUARY 1, 2019 Counselors must be enrolled 4-H members and are required to follow the 4-H code of conduct and rules set by 4-H staff. Please check prior counseling experience Summer Camp Day Camp Other (list) Please complete as follows: Put an X by those areas which you feel qualified to take leadership in; put on O by those which you feel you need additional training. Lead songs Teach camp crafts Lead table games Teach songs to others Conduct flag ceremonies Preside at assemblies Conduct campfire program Teach a camp class Can you swim Lead group games List the topics you could teach Have you had life saving training Conduct inspirational program Years of training i.e., closing, reflections List certifications Adventure Initiatives Canoeing In a short paragraph list your three top reasons why you should be selected as a counselor for Camp Benton. Do you have a job or other event that will affect your ability to make a commitment to camp? This year Camp Counselors will not be allowed to leave during camp, permission will be granted for special circumstances only if PRIOR parental permission is given and approved through full time 4-H staff. No Yes Please Explain:
2 In your opinion, what are the benefits the campers should receive from attending Camp Benton? What, in your opinion, are the most important qualities or characteristics a camp counselor should have? If there is a group of counselors hanging out with and interacting only with other counselors, what would you do about it to ensure that the campers have a good camp experience? If you were to create your ideal camp, describe below: (You may want to include theme, workshops/education, fun things, what campers would do at camp and what they would gain from camp, etc.) Be creative and create your own camp on paper! Use extra paper if you need to. Complete and send to: Ann Olson, Benton County Extension Office 531 Dewey Street, PO Box 650, Foley MN Camp Counselor Application Forms Due February 1, 2019 This application is not complete without two recommendations.
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4 Camp Counselor Recommendation Name of person you are recommending: Rate the applicant on the criteria below, on a scale from 1 4 with 4 being the highest score possible. 4=Excellent 3=Good 2=Fair 1=Needs Work 1. Responsibilities assumed and carried through in your club/class. Please list two: 2. Reliability 3. Maturity (in relation to age) 4. Cooperative with club s leaders/adults 5. Relationship with other club members/peers 6. Attitude toward 4-H 7. Leadership shown in your club/class 8. Courtesy and friendliness to youth and adults 9. Initiative 10. Desire and effort 11. Relationship with younger members in your club 12. Ability to work with a minimum of guidance 13. Attends club meetings and activities regularly What additional skills, abilities and attributes does the applicant have? What is the one best strength the youth will bring to the camping program? Is there anything else we should know about? Signed: Date: Title: Return by February 1 st to: Benton County Extension Office, 531 Dewey Street, PO Box 650, Foley MN
5 Camp Counselor Recommendation Name of person you are recommending: Rate the applicant on the criteria below, on a scale from 1 4 with 4 being the highest score possible. 4=Excellent 3=Good 2=Fair 1=Needs Work 10. Responsibilities assumed and carried through in your club/class. Please list two: 11. Reliability 12. Maturity (in relation to age) 13. Cooperative with club s leaders/adults 14. Relationship with other club members/peers 15. Attitude toward 4-H 16. Leadership shown in your club/class 17. Courtesy and friendliness to youth and adults 18. Initiative 10. Desire and effort 11. Relationship with younger members in your club 12. Ability to work with a minimum of guidance 13. Attends club meetings and activities regularly What additional skills, abilities and attributes does the applicant have? What is the one best strength the youth will bring to the camping program? Is there anything else we should know about? Signed: Date: Title: Return by February 1 st to: Benton County Extension Office, 531 Dewey Street, PO Box 650, Foley MN
6 To be signed by ALL counselors (new, returning, head) As a Camp Counselor, I commit myself to: Being a good role model at all times. I will show interest in all activities even if it is not my favorite thing to do. Getting to know the members of my group, the best that I can. Helping them to get acquainted with one another. Treating all campers the same. Respecting differences. I will attend all camp planning meetings, if I cannot attend I will inform the Extension Office before the meeting is to take place. (Missing more than ONE of the mandatory meetings WILL affect you Camp Counselor privileges) Seeing that all members of my group become involved or has a part in each activity. I know that camp counselors are not there to socialize with each other, but provide a great camp experience for the kids. Being willing to assist those in charge of the camp in any way that I can. Being prompt to all activities and willing to step in WHEREVER needed. Giving up my personal interests, so that the needs and interests of the campers can be met, realizing that the campers come first. Being available to the campers at all times. Knowing when it is time to take a few minutes of break time to regain my composure so I can be as energetic as possible. Not hesitating to ask an adult or another counselor for advice if I have a situation that I do not understand. Trying my best to create an atmosphere of fun and fellowship so strong that everyone in my group will want to attend camp again next year! Keeping a good spirit, cheerful, and positive attitude. Being loyal, kind, positive and considerate of all camp counselors. Being open to advice and positive criticism from fellow counselors and coordinator of the camp so that I can achieve personal growth and help the camp be the best that it can be! Follow the Minnesota 4-H Code of Conduct and all camp rules as set forth by the Extension Office and Leader s Council. I realize that if I do not follow the rules the 4-H Program Coordinator will not allow me to be a camp counselor. To follow evening curfew and keep my cell phone off, knowing that if I do not I will be going home for the rest of camp and not able to return. Signature of camp counselor date Signature of camp counselor s parent Return by February 1, 2019 date
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