Camp Councelor Application Form
Return by Wednesday, February 21st to the Waukesha County UW Extension Office
| |
|Name:______________________________________________________________________________ |
|Address:______________________________________________________________________________ |
|City:________________________ |Zip:_________________ |Home Phone:_____________________ |
|Cell Phone:__________________ |Age:________________ |Current Grade:_____________________ |
|Club:_______________________ |Email:__________________________________________________ |
| |
|Parent Email:____________________________________________________________________ |
|ANSWER THE FOLLOWING ABOUT YOUR EXPERIENCE(S) IN 4H AND 4H SUMMER CAMP |
|I have been in 4H for ____years | |
|Check all that apply: | |
| |I have been a 4H camper____ |
| |I have been a 4H Counselor in Training (CIT)____ |
| |I have been a 4H Counselor (CO)____ |
| |I have been a Senior Counselor (Sr. CO)____ |
|OTHER CAMPING EXPERIENCES (List camps attended other than 4H camp) |
|Year |Name of camp |Kind of camp |Length of camp |
| | | | |
| | | | |
| | | | |
| | | | |
|4H is all about the BIG M (Belonging, Independence, Generosity and Mastery). Provide at least 2 examples of how you can support the BIG M as you work with your |
|campers: |
| |
|_______________________________________________________________________________________________________________________________________________________________________|
|_____________________________________________________________________________________________________________ |
| |
|___________________________________________________________________________________________ |
| |
| |
|Why do you want to be a 4-H camp counselor, and what qualities do you have that you can use to enhance the camp experience? |
|_______________________________________________________________________________________________________________________________________________________________________|
|_______________________________________________________________________________________________________________________________________________________________________|
|__________________________________ |
|What experiences have you had as a leader in a camp situation? (Both 4-H and non-4H). |
| |
|_______________________________________________________________________________________________________________________________________________________________________|
|_____________________________________________________________________________________________________________________________________________________________________ |
|Every year camp has a theme. What theme ideas do you have for camp? How would you apply that theme to the various activities at camp? |
| |
|_______________________________________________________________________________________________________________________________________________________________________|
|_______________________________________________________________________________________________________ |
EMERGENCY CONTACT:
NAME PHONE NUMBER
NAME__________________________________________ PHONE NUMBER _______________
APPLICANT SIGNATURE DATE
PARENT/GUARDIAN SIGNATURE DATE
RETURN BY Wednesday, February 21, 2019 TO:
Attn: Molly Ellis
Waukesha County UW-Extension
515 W Moreland Blvd Rm AC G22
Waukesha WI 53188
mellis@
262 548-7774 - Fax 262 548-7787 - (Wis Relay) 711
-----------------------
If you are chosen as Camp Staff, you are expected to attend ALL camp training meetings.
If you are unable to attend a meeting,
please contact Jann Pfaff at
cell: 262-751-3009 or text
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- completed job application form examples
- loan application form sample
- personal loan application form sample
- loan application form template
- nclex rn application form download
- new employee application form pdf
- 2019 2020 fafsa application form printable
- fafsa application form 2018 19
- fafsa application form 2019 20
- financial aid application form pdf
- financial aid application form template
- employee application form free pdf