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2018 Clark Co. 4-H Camp Counselor/CIT Commitment & Contract Return Completed and Signed at 4-H Camp Counselor/CIT Interview I will: Maintain my Clark County 4-H membership in good standing and/or become a Clark County 4-H member in good standing for the 2018 4-H Year. Attend the 2018 Camp Counselor & CIT Orientation on Tuesday, Nov. 28, 2017, 6 PM-8 PM at the Extension Office. Complete the required 24 hours of counselor/cit training and 4-H camp planning hours including the Child Abuse Awareness training. Record training dates in my calendar and make them a priority. I understand that I will not attend 4-H camp as a counselor or CIT, if I do not meet the required training requirements. Contact the Clark County Extension Office or Camp Director(s) by phone, e-mail or text if I am unable to attend any of the scheduled counselor/cit training or planning sessions. Show respect and communicate with camp staff (professional and volunteer), fellow counselors, CIT s, and campers to minimize misunderstandings and problems. Be on time, flexible and responsible to meet camper needs and carry out counselor, CIT duties and responsibilities. Be a TEAM PLAYER by: Being an ACTIVE participant in planning 4-H camp: workshops, camp fire, evening recreation, flag ceremonies, inspiration, free time, cabin time & special programs. Being PREPARED for any camp activity (self-selected or staff appointed to meet a need). Being COMMITTED to do my part to plan, conduct and evaluate a successful camping experience for all. Serve as a positive role model by: Not using profanity or telling off color jokes and stories. Not using or possessing tobacco products, alcohol or illegal drugs. Not committing a criminal act. Not belittling, ridiculing or being abusive (physical, verbal or emotional) to others. Follow and enforce safety guidelines, 4-H and camp rules at all times to ensure the safety of all. Supervise campers at all times in cabins and groups, during activities and free time, off site at specials, to and from activities, nurse s cabin or the bathroom. Be responsible for my own behavior and actions. Be in my cabin with my campers at all times between the hours of Lights Out and Rise and Shine. Get to know each camper and encourage camper participation to help campers make new friends. Turn my cell phone OFF during training and planning sessions. Turn my cell phone in upon arrival at camp and only request cell phone use for emergency communication unless otherwise authorized by camp staff (professional and volunteer). Abide by the no cell phones and/or electronic devices with camera capability in the cabins -- a camp policy! Pay any fees associated with my volunteer role as a Camp Counselor/CIT by June 12, 2018. Estimated fees: Counselor 30% of Camp Fee CIT 50% of Camp Fee If 18 years of age or older at least 2 months prior to camp, I understand I must submit to a BCI Fingerprint Check no later than May 15, 2018. I understand that I will be reimbursed for this expense. My signature acknowledges that I have read and agree to abide by the above Counselor/CIT contract and responsibilities. I understand and agree that if my performance during training and planning sessions or at 4-H camp is not acceptable and/or I am not meeting the responsibilities and expectations outlined above, I will be dismissed. Counselor/CIT Signature: Date: I have read and agree to support my son or daughter s roles as a 4-H Camp Counselor or CIT. I understand the expectations and responsibilities outlined above as well as the consequences, if these aren t fulfilled by my child. Parent/Legal Guardian Signature: Date: Page 3/5 nondiscriminatory basis. For more information: go.osu.edu/cfaesdiversity. 2017 Clark Co. 4-H Camp Counselor/CIT/Ambassador Application Packet

OHIO 4-H CAMP COUNSELOR/CIT CODE OF CONDUCT Return Completed and Signed at 4-H Camp Counselor/CIT Interview I, agree that if selected, I will participate in the Clark County (county above) 4-H Camp Counselor/CIT Training Program. I understand that this is a training period and only once I complete my certification am I permitted to be a counselor/cit at 4-H Camp. I understand that I am taking on a different role at camp. I am applying to serve others, 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/cit. 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/cit 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/cit 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/ Legal Guardian Signature Page 4/5 Date nondiscriminatory basis. For more information: go.osu.edu/cfaesdiversity. 2017 Clark Co. 4-H Camp Counselor/CIT/Ambassador Application Packet

Return completed and signed form at 4-H Camp Counselor/CIT Interview Page 5/5 nondiscriminatory basis. For more information: go.osu.edu/cfaesdiversity. 2017 Clark Co. 4-H Camp Counselor/CIT/Ambassador Application Packet

Position Title: 4-H Camp Counselor OHIO STATE UNIVERSITY EXTENSION 2018 Clark County 4-H Camp Counselor Position Description Time Required: 24+ hours of training 24-7 on-site camp participation from Noon first day of camp to noon last day of camp Location: Trainings held in Clark County and on-site at 4-H Camp Clifton, 4-H camp held at 4-H Camp Clifton General Purpose: Plan and conduct active, hands-on, fun and cooperative programming designed to develop respect for self, others and the environment. Understand and carry out camp standards, policies and procedures that lead to a quality and safe camp program for all. Serve as a positive role model to help campers (age 8 to 14) learn new skills and enhance their existing abilities to build interpersonal, self-confidence, problem solving, teamwork, communication and critical thinking. Specific Responsibilities: Supervise campers during the entire 4-H camp, providing for the safety and well-being of campers at all times. Plan, teach/co-teach and/or assist with one or more workshops related to the camp theme and the identified focused areas by the camp director(s) and staff. Treat campers, peers, staff and the camp with respect and dignity at all times. Demonstrate a positive attitude that motivates campers participation and establishes a welcoming environment for communication and interpersonal skill development. Learn, understand, agree to and follow The Ohio State University/Ohio 4-H/Clark County 4- H/Camp Clifton camp standards, policies and procedures and communicate and enforce these while supervising and carrying out all camp programming. Plan and conduct camp activities that meet the needs and interests of the target camper ages (e.g. workshops, flags, evening recreation, campfire, inspiration, songs, special programs, etc.) Be a team player performing the roles of leader and supporter (follower) in successful implementation of the overall 4-H camp goals and objectives. Put camper needs first -- be alert to their health and safety at all times (e.g. physical, emotional, weather related, homesickness, etc.). Be aware of child protection regulations and report any child abuse, sexual abuse, or neglect in accordance with university policy. Learn, develop and use positive camper behavior management strategies and skills to prevent, minimize and effectively deal with camper behavior issues. Make camp counselor planning and training sessions a priority, arrive on time, participate fully, follow-through on commitments within and outside of planning and training sessions. (e.g. minimum 24 hours of off-site and on-site training required). 2018 Clark County 4-H Camp Counselor Position Description

Read camp counselor official communications (letters, texts, e-mails, social media, etc), take appropriate action and maintain camp workshop and program planning sheets up-to-date in appropriate 4-H Camp binders. Help campers practice good hygiene, clean the cabin/camp grounds, monitor eating, sleeping and clothing, be on time to activities and provide proper assistance with personal and interpersonal problems. Welcome parents and campers at the cabin, follow required camper check-in and check-out procedures and assure parents that their children are your number one priority for the week. Qualifications: An individual serving as a Clark County 4-H Camp Counselor must: Be 16 to 18 years of age by January 1, 2018. A current 4-H member in good standing and/or become a 4-H member in good standing for the 2018 4-H Programming Year. If 18 years of age or older, at least two months before first day of camp, must submit to a BCI fingerprint background check. Enthusiastic, caring, patient, trustworthy and have a good attitude. Prepared to listen, learn and be considerate of others. Willing to be supervised by Extension professionals, camp volunteers/staff and peers. Eager to discover, learn and grow from your experiences and with others. Respectful of the policies, procedures, people and institutions responsible for carrying out the camp s mission. Wanting to have FUN and wanting to LOVE carrying out your responsibilities at camp. Ohio State University Extension Agrees to: Provide training opportunities, coaching, mentoring and support that prepare camp counselors to meet camper needs and interests. Acquire resources, supplies and materials necessary to implement a quality and safe camp program. Support camp counselor(s) in effective camper supervision and behavior management. Gather evaluation and feedback from counselors, campers and parents on the camp program to make continuous improvements. Recognize counselors for their contributions to the overall camping program. Mentor/Supervising Professional: Patty House Extension Educator 4-H Youth Development OSU Extension, Clark Co.. 3130 East Main Street Springfield, OH 45505 937-521-3865 house.18@osu.edu http:// 2018 Clark County 4-H Camp Counselor Position Description

2018 Clark County 4-H Camp Counselor-In-Training Position Description Position Title: 4-H Counselor-In-Training Time Required: 24+ hours of training 24-7 on-site camp participation from Noon first day of camp to noon last day of camp Location: Trainings held in Clark County and on-site at 4-H Camp Clifton, 4-H camp held at 4-H Camp Clifton General Purpose: Assist with planning and conducting active, hands-on, fun and cooperative programming designed to develop respect for self, others and the environment. Understand and carry out camp standards, policies and procedures that lead to a quality and safe camp program for all. Serve as a positive role model to help campers learn new skills and enhance their existing abilities to build interpersonal, self-confidence, problem solving, teamwork, communication and critical thinking. Specific Responsibilities: Assist counselors in supervision of campers during the entire 4-H camp, providing for the safety and well-being of campers at all times. Contribute to planning and co-teaching with counselors one or more workshops related to the camp theme and the identified focused areas by the camp director(s) and staff. Treat campers, peers, staff and the camp with respect and dignity at all times. Demonstrate a positive attitude that motivates campers participation and establishes a welcoming environment for communication and interpersonal skill development. Learn, understand, agree to and follow The Ohio State University/Ohio 4-H/Clark County 4-H/Camp Clifton camp standards, policies and procedures and communicate and enforce these while supervising and carrying out all camp programming. Assist with planning and conducting camp activities with counselors that meet the needs and interests of the target camper ages (e.g. workshops, flags, evening recreation, campfire, inspiration, songs, special programs, etc.) Be a team player performing the roles of leader and supporter (follower) in successful implementation of the overall 4-H camp goals and objectives. Put camper needs first -- be alert to their health and safety at all times (e.g. physical, emotional, weather related, homesickness, etc.). Be aware of child protection regulations and report any child abuse, sexual abuse, or neglect in accordance with university policy. Learn, develop and use positive camper behavior management strategies and skills to prevent, minimize and effectively deal with camper behavior issues. Make camp counselor/cit planning and training sessions a priority, arrive on time, participate fully, follow-through on commitments within and outside of planning and training sessions. (e.g. minimum 24 hours of off-site and on-site training required). 2018 Clark County 4-H Camp Counselor-In-Training (CIT) Position

Read camp counselor/cit official communications (letters, texts, e-mails, social media, etc), take appropriate action and maintain camp workshop and program planning sheets up-to-date in appropriate 4-H Camp binders. Help campers practice good hygiene, clean the cabin/camp grounds, monitor eating, sleeping and clothing, be on time to activities and provide proper assistance with personal and interpersonal problems. Welcome parents and campers at the cabin, follow required camper check-in and check-out procedures and assure parents that their children are your number one priority for the week. Qualifications: An individual serving as a Clark County 4-H Camp Counselor in Training (CIT) must be: 14 to 15 years of age by January 1, 2018. A current 4-H member in good standing and/or become a 4-H member in good standing for the 2018 4-H Programming Year. Enthusiastic, caring, patient, trustworthy and have a good attitude. Prepared to listen, learn and be considerate of others. Willing to be supervised by Extension professionals, camp volunteers/staff and peers. Eager to discover, learn and grow from your experiences and with others. Respectful of the policies, procedures, people and institutions responsible for carrying out the camp s mission. Wanting to have FUN and wanting to LOVE carrying out your responsibilities at camp. Ohio State University Extension Agrees to: Offer training opportunities, coaching, mentoring and support that prepare camp counselors/cit s to meet camper needs and interests. Acquire resources, supplies and materials necessary to implement a quality and safe camp program. Support camp counselor(s)/cit s in effective camper supervision and behavior management. Gather evaluation and feedback from counselors, campers and parents on the camp program to make continuous improvements. Recognize counselors/cit s for their contributions to the overall camping program. Mentor/Supervising Professional: Patty House Extension Educator 4-H Youth Development OSU Extension, Clark Co. 3130 East Main Street Springfield, OH 45505 937-521-3865 house.18@osu.edu http:// 2018 Clark County 4-H Camp Counselor-In-Training (CIT) Position