December 1, Dear 4 H'er and Potential Camp Counselor:

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1 COLLEGE OF FOOD, AGRICULTURAL AND ENVIRONMENTAL SCIENCES December 1, 2018 Ohio State University Extension Washington County 202 Davis Avenue Marietta, OH Phone Fax Dear 4 H'er and Potential Camp Counselor: It is time to start thinking about the H Camping Program! You can be a part of the camping program by being selected to be a 4 H camp counselor. Working as a camp counselor is a tremendous responsibility and privilege, but the rewards are great. Teens are selected to be care providers for young campers based on their fulfillment of a selection process that is similar to real life job selection procedures. Your participation in this selection process can enhance your employability skills and prepare you for the expectations of future employers. As when applying for any job, you should neatly and thoroughly complete requested items for the camp counselor position. All of the following documents are included in this packet and are available on our website at: in the 4 H Youth Development section. Packets are also at the Extension Office. The 4 H Counselor Event Opportunity and Job Opportunity Announcement lists the counselor training dates, and states the requirements needed to be a counselor. If you are interested in the position, you need to complete, and turn in with all signatures in place, by the February 1 deadline to the Extension Office, 202 Davis Avenue, Marietta OH or marthaw09@gmail.com the following forms: 1. 4 H Camp Counselor Application, 4 H Camp Counselor Code of Conduct, Standards of Behavior for Minor Participants, Ohio 4 H Camp Cell Phone Policy, and 2 Reference Forms for first time applicants. 2. Complete and turn in 4 H Enrollment form by the February 1 deadline only if you do not have a 4 H Club and need to join Camp Counselor s club. 3. First year counselors and counselors with one year of experience will need to attend the Assessment Station Training that is held on... Sunday, February 10, 2019, 3:00 4:30 PM at the Extension Office, 202 Davis Ave. Marietta 4. First year counselors and counselors with one year of experience will need to schedule a 15 minute interview by calling the Extension Office at Interviews will held on Sunday February 18 from 3 6 PM and February 24 from 2 5 PM. We wish you the best in your efforts to be selected as a H camp counselor! Martha Webster, Camp Director pb Enclosures: Event & Job Opportunity Announcement, Camp Counselor Dates & Fees, 1 page Counselor Application, 4 H Camp Counselor Code of Conduct, Standards of Behavior for Minor Participants, Ohio 4 H Camp Cell Phone Policy, 2 Reference Forms, and 4 H Enrollment Form for Camp Counselors Club.

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3 OHIO STATE UNIVERSITY EXTENSION 4-H EVENT/OPPORTUNITY: 4-H Camp Counselor DATE / DEADLINE: Applications are due to the OSU Extension Office no later than February 1 by 4:30pm. PROGRAM DESCRIPTION: The 4-H Camp Counselors are a group of 4-H teens selected to assist in being responsible for campers ages 6-15 during 4-H camp. As a result of participation, counselors will develop knowledge, skills, attitudes and aspirations needed for adult success, and the Washington county 4-H program will be strengthened and expanded. Roles and Responsibilities of 4-H Camp Counselors include: Attend required trainings prior to camp Market and promote camp Serve in a leadership and teaching role to other counselors Serve on committees or other groups to plan programs at camp Conduct self in an appropriate manner before, during, and after camp while serving as a role model to campers and peers Assist staff and other counselors with camp activities; work as a team to implement the activities Know and understand all safety guidelines, including emergency procedures, associated with the camp and program areas Follow and enforce camp rules Assure for safety of campers at all times including in cabins, sessions, and large group activities Be aware of child protection regulations and report any child abuse, sexual abuse, or neglect in accordance with university policy Identify and respond to camper behavior issues Ensure campers health and hygiene, e.g., brushing teeth, eating meals, taking medication, etc. Promote camper participation during camp Lead and supervise campers in activities at camp including but not limited to songs, teambuilding challenges, group activities, challenges, etc. Teach and lead campers at workshops or during other components at camp (table setting, song leading, etc.) Mentor and give guidance to campers to encourage positive youth development and enhancement of life skills REQUIREMENTS: Must be at least 14 years old by the start of camp. Must be able to get transportation to meetings and events as needed. Must complete a minimum of 12 hours of training. (2 of these hours must be on-sight for first time counselors). Must complete Child Abuse Awareness training. Must Sign Standards of Behaviors, complete the Code of Conduct form, and have a current Ohio 4-H Health History form on file. First time applicants must provide two references, attend assessment, and be interviewed. If the individual is 18+ year old at least two months prior to camp, the individual must have their background check conducted. SELECTION PROCESS: Individuals who complete the application and fulfill application requirements will be contacted regarding the selection process. MEETING DATES/TIME/FREQUENCY Please see the attached document for dates and times of assessment, interviews, and counselor trainings. Please note, the majority of trainings are held on Sunday afternoons this year. Counselors are expected to notify the Camp Director or Extension Office if an absence is unavoidable. TO APPLY: Complete the application in its entirety. Turn in reference forms from two non-family members. OR Provide non-family references with contact information. (First Time Applicants Only) Read and sign the Standards of Behavior and Camp Counselor Code of Conduct forms. Return all materials to the Washington county Extension Office by Friday, February 1, 4:30pm. Ohio4h.org CFAES provides research and related educational programs to clientele on a nondiscriminatory basis. For more information: go.osu.edu/cfaesdiversity. Last Updated by H.K. Epley, 12/2015

4 4 H Camp Counselor Training Dates, Camp Dates & Registration Fees POSITION: LOCATION: H Camp Counselor Hervida 4 H Camp, Waterford, Ohio TRAINING DATES: F Feb. 1st By 4:30 PM Application/References Due Extension Office Su Feb. 10th 3:00 4:30 PM Counselor Assessment Extension Office M Feb. 18th 3:00 6:00 PM Counselor Interviews Extension Office Sun Feb. 24th 2:00 5:00 PM Counselor Interviews Extension Office (Only first year counselors and counselors with 1 year experience need to attend assessment and interviews unless otherwise contacted) Su Mar. 10th 2:00 5:00 PM Counselor Training Phillips Elementary Su April 7th 2:00 5:00 PM Counselor Training Phillips Elementary Su May 5th 2:00 5:00 PM Counselor Training Phillips Elementary TH&F June 6 7 7:00PM 2 PM Counselor s Camp Camp Hervida TH or F June 27 or 28 TBD Counselor Training Extension Office CAMP DATES & FEES FOR CAMP COUSELORS Counselor Camp June 6 7th 7:00 PM 3:00 PM No Charge Space Adventure Camp June (Counselors Training June 10) No Charge Cloverbud Day Camp July 1 (Counselors Arrive Sun. Evening) $20 Beginner Camp July 1 2 (Counselors Arrive Sun. Evening) No Charge if attending Cloverbud Day Camp Junior Camp July 8 12 (Counselors Arrive Sun. Evening) $40 Senior Camp July (Counselors Arrive Sun. Evening) $40 (Cost same whether Counselor or Camper) DESCRIPTION: Immediate openings available for older youth wishing to be involved in the H camping program. Responsibilities include serving on at least one committee to plan and implement specific portions of a camp s program; assisting in morning classes; and assignment to a cabin providing round the clock care for the campers living in that cabin. Position reports directly to the Camp Director; with supervision by total camp staff. REQUIREMENTS: Candidates must be at least 14 years old by the start of camp, a 4 H member in good standing or willing to join the Camp Counselor s Club, and enjoy working with young children. Selection based upon application, advisor and other adult recommendations, assessment station scores, interview, and previous leadership and camping experiences. Candidates must satisfactorily complete the counselor training program, including an interview. BENEFITS: Develop leadership skills, gain self confidence, assist in personal development of younger 4 H members, meet new friends, and reduced camp fee. Ohio State University Extension embraces human diversity and is committed to ensuring that all research and related educational programs are available to clientele on a nondiscriminatory basis without regard to age, ancestry, color, disability, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, sexual orientation, or veteran status. This statement is in accordance with United States Civil Rights Laws and the USDA. INTERESTED PERSONS SHOULD RETURN THE APPLICATION MATERIALS BY February 1, 2019 TO: Martha Webster, Camp Director PHONE: (740) OSU Extension Washington County Cell: Davis Avenue Marietta, OH Ohio 4 H

5 H CAMP COUNSELOR APPLICATION Due February 1 st Name Gender: Age (January 1) Date of Birth (00/00/0000) Home Address (Street) (City) (State) (Zip) Home Phone Cell Phone Is texting an option? (circle) Yes No T-Shirt Size: Camps you would like to counsel: Beg/Cloverbud Junior: Senior: Space Camp at Marietta College: (You will be contacted by the space camp director by April 1 st ) In case of injury or accident, notify: Name Relationship Phone Why do you want to be a camp counselor? What traits, skills, or special experiences do you have that would benefit you in this position? (Please include experiences working with children and youth.) What skills or contributions will you add to the counselor team in making sure camp is successful? (such as First Aid, Babysitter s Course, Recreation, etc.) What hobbies and/or special interests do you have that you would like to share? Please list 2 of your strengths and explain why you chose these strengths. What committee interests you most? (Campfire, Tribes, Dining Hall, Candlelighting/Flags, Afternoon Rec, Evening Rec, New this year: Crafts/Activities committee) Frist Choice: Second Choice: Third Choice: Ohio 4 H

6 4-H CAMP COUNSELOR CODE OF CONDUCT I, agree that if selected, I will participate in the 4-H Camp Counselor Training Program. I understand that this is a training period and only once I complete my certification am I permitted to be a counselor at 4-H Camp. I understand that I am taking on a different role at camp. I am applying to serve other, not to go purely for my own enjoyment. By signing below, I acknowledge that I have read and agree to abide by the above responsibilities if selected as a camp counselor. I understand and agree that I will be asked to call my parents/guardian immediately to pick me up if I conduct myself in an irresponsible manner, which includes being out of my cabin after hours and/or the possession or use of tobacco, alcohol, illegal drugs or fireworks. I will be expected to: Attend the required number of counselor training sessions. I understand I will be dismissed if I am not able to complete the required training. Abide by the No Cell Phones at Camp Policy (note: unless otherwise authorized by Extension staff) Treat other peers with respect. Not bully fellow counselors or participate in goat-play or hazing. Conduct myself as a positive role model and be responsible. Set a good example by not using profanity or telling off-color jokes, and stories. As a 4-H member, not have in my possession tobacco, alcohol or illegal drugs. Not have possession of harmful objects without specific authorization from the camp director, including but not limited to: knives of any kind (pocket, utility, etc.), lighters, matches, fireworks, explosives, firearms, weapons, etc. No pornography or other sexually oriented materials including nudity in visual or written materials including similar content. Be a responsible cabin counselor and ensure campers are provided guidance towards a safe and fun week. Ensure that all campers are supervised by counselor staff at all times. Be sure that all campers know that they must remain on the camp grounds at all times and are responsible for their behavior at all times. o Get to know each of the campers personally and by name. o Have all campers, including myself check in any of their medications with the nurse. o Make sure each camper uses personal hygiene. o Make sure that all of my campers are familiar with camp facilities and camp rules o See that all campers are involved in all activities. Make sure no one is excluded. Check for illness or injury, but don't make much of a "fuss" about +++8minor things. Go with hurt or sick campers to the nurse no matter how minor the ailment. Follow guidelines for lights out, and cabin supervision. Be in my cabin with my campers at all times between the hours of "Lights Out" and "Rise and Shine. Never discipline a camper by ridicule or physical punishment; patience and understanding works best. Urge safety at all time. Take time to explain how and why to do something safely. Work as a team to plan, organize and conduct all camp activities. Be flexible with counseling and adult staff. Participate in camp promotion. Follow leadership of camping program through adult advisors/volunteers/staff. I certify that the all the information being submitted is correct, and understand that failure to comply with these rules could result in probation, or loss of counseling position for the year. Applicant s Signature Date / / Parent/ Guardian Signature Date / / Ohio 4 H

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8 Ohio 4 H Camp Cell Phone Policy Deadline February 1, 2019 to the Extension Office As a means of risk management, youth participants (campers and counselors) may not possess cell phones* during 4 H camp. Counselors shall not use cell phones (as alarms, music players, etc.) in their cabins at any time. Camp Program Directors have discretion for permitting camp counselors selective cell phone use during limited time periods, such as during out posting, nature treks, or off camp travel (field trips), or for other safety concerns where the use of two way radios is not practicable. If an individual is caught with a prohibited cell phone, the counselor will be sent home at the family's expense. * Camp Program Directors also have discretion for prohibiting other internet enabled devices at their 4 H camps. Cell Phone Policy Agreement Form I understand that I am not to bring a cell phone to camp. If a cell phone is brought to camp it will be turned in to the Camp Director and returned at the returned at the conclusion of camp. Print Name of Counselor: Date: Signature of Counselor: I have read the above cell phone policy and agree to the guidelines stated. I understand that if there is an emergency I may contact the camp at the phone numbers listed in the camp packet. (Signature of Parent) (Date) Ohio 4 H

9 REFERENCE FORM For First Time Applicants Only is applying as a camp counselor at 4-H Camp this summer. The camp counselor selection committee would like your input about the qualities and ability to fulfill the responsibilities of a counselor. The information you include will not be shared with the applicant. Please complete this reference form based on your knowledge and/or observations. Thank you for your help. 1. Please mark how you would evaluate the applicant s qualities, using this scale: Excellent Good Fair Poor Not Known Responsibility Communication skills Respect for others Dependability Enthusiasm Flexibility Patience Initiative Resourcefulness children (age 5-10) children (ages 11-14) other teens adults 2. Please write any additional comments here: Signed: Date: Printed Name: Relationship to Applicant: Address: Phone: Please return no later than February 1, OSU Extension, Washington County Address:202 Davis Avenue, Marietta, OH FAX: Phone: Camp Director: marthaw09@gmail.com Please note: Please submit in a sealed envelope. For questions contact the OSU Extension Office. Ohio 4 H

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11 REFERENCE FORM For First Time Applicants Only is applying as a camp counselor at 4-H Camp this summer. The camp counselor selection committee would like your input about the qualities and ability to fulfill the responsibilities of a counselor. The information you include will not be shared with the applicant. Please complete this reference form based on your knowledge and/or observations. Thank you for your help. 1. Please mark how you would evaluate the applicant s qualities, using this scale: Excellent Good Fair Poor Not Known Responsibility Communication skills Respect for others Dependability Enthusiasm Flexibility Patience Initiative Resourcefulness children (age 5-10) children (ages 11-14) other teens adults 2. Please write any additional comments here: Signed: Date: Printed Name: Relationship to Applicant: Address: Phone: Please return no later than February 1, OSU Extension, Washington County Address:202 Davis Avenue, Marietta, OH FAX: Phone: Camp Director: marthaw09@gmail.com Please note: Please submit in a sealed envelope. For questions contact the OSU Extension Office. Ohio 4 H

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13 Ohio 4-H Member Enrollment Form 4-H Club Washington County Camp Counselor Club Check here if this is your Primary Club Address OHIO STATE UNIVERSITY EXTENSION Complete this form only if you do not have a 4 H Club and need to join the Camp Counselor Club Years in 4-H (Including this year) 2019 New enrollment Re-enrollment Member Cloverbud Name (please print) First Middle Initial Last Mailing Address Street City Zip County of Residence Primary Phone - - Correspondence Preference Mail T-Shirt Size Youth Adult Birth Date / / 4-H Age (age as of Jan. 1) Gender Male Female Cell Phone - - Check here to receive text alerts to your mobile device. Name of Mobile Service Provider (There is no fee for this service. However, standard text message rates may apply. Please contact your mobile service provider for more details.) All 4-H mailings are directed to the primary parent/legal guardian listed below. Additional mailings may be directed to other parental/legal guardian at different addresses if indicated below. Parent s Names (as you want them listed in the media & show programs): Primary Parent/Guardian Parent/Guardian #2 First Last First Last Address (if different) Address (if different) City Zip City Zip Cell - - Work - - Cell - - Work - - Occupation Relationship to 4-Her Check here to list this parent/guardian as emergency contact Receive 4-H mailings via Mail No Mailings Occupation Relationship to 4-Her Check here to list this parent/guardian as emergency contact Ethnicity (check one) Hispanic Not Hispanic Race (check all that apply) White Black American Indian/Alaskan Native Hawaiian/Pacific Islander Asian Residence (check one) Farm Town/Rural Town Suburb City (Less than 10,000/) (10,000 to 50,000) (More than 50,000) (More than 50,000) I have a parent serving in the Military I have a sibling serving in the Military Branch of Service Air Force Army Coast Guard Marines Navy Branch Component Active Duty National Guard Reserves School District School Name Grade Health Considerations/Notes (i.e. food allergy, diabetes, etc. ) Project # 4-H Project Name Project # 4-H Project Name Camp Counseling I have read, understand, and agree to abide by the OHIO 4-H CODE OF CONDUCT on the back of this form. 4-H Participant Signature Date 4-H Volunteer/Leader Signature Date { }Ver.11/ TGrody Note to Parents/Guardians: Please review & complete the back of this form

14 OHIO STATE UNIVERSITY EXTENSION ACKNOWLEDGEMENT OF RESPONSIBILITY AND RELEASE I understand and acknowledge that there are certain hazards and risks associated with my child s participation in 4-H educational activities. I understand and accept such risks, and thus waive all claims, demands and causes of action against the State of Ohio, The Ohio State University, the County and their respective trustees, members, officers, employees, agents and volunteers acting on their behalf. I understand that I am solely responsible for any costs arising out of any injury or property damage sustained through my child s participation in 4-H educational programs. I have had sufficient time to review and seek explanation of the provisions contained above, have carefully read them, understand them fully, and agree to be bound by them. After careful deliberation, I voluntarily give my consent to my child s participation and agree to the terms contained in this Acknowledgement of Responsibility and Release. I, (printed name), am the parent or legal guardian of the 4-H participant. I have read and I understand the provisions of this document, I consent to the participant taking part in the activities described above, and I fully enter into and agree to the above Acknowledgement of Responsibility and Release. PERMISSION TO USE CHILD S PHOTOGRAPHIC FORM FOR PROMOTION Ohio State University Extension would like to share the positive results of youth participation in Extension and 4-H Youth Development events. However, in some cases, parents or guardians may prefer not to permit such publicity. (Please select one) I GIVE I DO NOT GIVE the Ohio State University permission to publish in print, electronic, or video formats the likeness or image of my child. I release all claims against the University with respect to copyright ownership and publication including any claim for compensation related to use of the materials. If this section is not completed, publicity about this child s participation will not be used by Ohio State University Extension. OHIO 4-H CODE OF CONDUCT 4-H members, parents, and other adults participating in 4-H activities will: 1. Adhere to program rules, curfews, dress codes, policies, and rules of the facility being used. 2. Conduct themselves in a courteous, respectful manner, use appropriate language, exhibit good sportsmanship, and provide positive role models. 3. Abstain from illegal behaviors, use of alcohol, illegal or illicit drugs, and tobacco during 4-H events and activities. 4. Fully participate in scheduled activities. 5. Respect other s property and privacy rights. 6. Abstain from child abuse (physical and/or verbal) and harassment. 7. Accept personal responsibility for behavior including any financial damage. 8. Be responsible for any financial damage caused by inappropriate behavior. 9. Adhere to rules of safety. 10. I will uphold and support the responsible and lawful use of social media. In so doing, I will not create or post social media content that is abusive, threatening, defamatory, obscene, harassing, or creates a hostile environment. Consequences for violating any part of this code of conduct may include, but are not limited to: removal from participation in the event in which the code of conduct has been violated (at the individual s expense); sanctions on participating in future 4-H events; forfeiture of financial support for the event; removal from offices held, etc. Behavior outside of 4-H activities can affect member in good standing or volunteer in good standing status. It is the responsibility of all program participants to reinforce the code of conduct and intervene when necessary to enforce the rules. I have read, understood and thus agree to the above ACKNOWLEDGEMENT OF RESPONSIBILITY AND RELEASE, PERMISSION TO USE CHILD S PHOTOGRAPHIC FORM FOR PROMOTION, and 4-H CODE OF CONDUCT mentioned above on this DAY OF, 20. I hereby give permission for (printed name of 4-H participant) to participate in organized events and activities offered by Ohio 4-H Youth Development Program for the current 4-H enrollment year. It is my understanding that my child will learn, understand and follow established guidelines for safety in the activities in which he/she participates. Further, I understand and agree that my child's 4-H enrollment information may be shared with organizations providing oversight of county and independent fairs. Printed Name (4-H Participant) Signature (4-H Participant) Printed Name (Parent/Legal Guardian) Signature (Parent/Legal Guardian) CFAES provides research and related educational programs to clients on a nondiscriminatory basis. For more information: { }Ver.11/ TGrody