Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
Thank you for your interest in the Camp Funtastic CIT (Counselor-In-Training) program. This unique program
has been developed for future counselors ages 12-15. This program provides significant experiences that build
leadership, team work and supervisory skills while providing staff support at Camp Funtastic. Participants will
gain knowledge of child development principles, basic customer service skills and knowledge about other
subjects that will be valuable enhancements to college applications, resumes and subsequent employment or
volunteer pursuits.
CIT: CIT’s are students that are ages 12-15 years old.
CIT Application Guidelines:
 Complete CIT Application and return it to the District Office.
o Applicants must submit a written essay not to exceed more than 300 words.
o Applicant may write or type their essay.
o The essay must be on one of the three topics listed below:
 Leadership: Provide an example of a leadership role that you have filled and elaborate.
How did it make you feel? Was this experience important to you? What qualities do
you believe a leader possesses?
 Choosing Camp Funtastic: With so many places to volunteer in Camarillo, why did you
choose Camp Funtastic? What does the CIT program mean to you? What goals would
you hope to achieve by the end of the CIT experience?
 Working with Others: Teen volunteers at Camp Funtastic are required to work with
campers, parents, staff, and other CIT participants. Tell us about the experiences you
have had that demonstrate your skills working with these groups: children, adults, and
peers.
o New CIT applicants: Applicant must provide a professional letter of recommendation from an
adult such as a counselor, teacher or coach. It is recommended that this letter be on the letter
head of the organization that is providing the recommendation, but is not mandatory. Please
have the person provide all of their contact information as they may be contacted as part of a
reference check.
o Provide staff with a completed CIT Availability Sheet for the summer.
 Enroll in the CIT Training session scheduled for Saturday, June 6 at a cost of $100. (Subject to change)
Enrollment does not guarantee acceptance into the CIT program.
o As a part of the training process, prospective CIT will participate in an interview with the Camp
Funtastic Director. Selections will be made by the Camp Director based on the interview, an
evaluation of participation and behavior during the training sessions, by reviewing the
application, essay and letter of reference provided by the applicant.
 CIT will register on a weekly basis and will be assessed a $75 fee for each week they participate as a CIT
at Camp Funtastic. This fee is to cover costs incurred for field trips, CIT uniform, and other special
events where a cost may be associated. CIT will be provided with one CIT shirt. CIT will be required to
wear this shirt on the Tuesday field trip. Additional shirts may be purchased for $15.
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Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
Counselor-in-Training (CIT) Application
Personal Information
Last Name
First Name
Street Address
Home Phone
Middle Initial
City
Cell Phone
Nickname
State
Zip
E-Mail Address
School (Fall 2009)
Grade
Shirt Size (Adult):
S
M
L
XL
Date of Birth
Emergency Contact
Name
(
)
Daytime Phone Number
Relationship
(
)
Alternate Phone Number
Name
(
)
Daytime Phone Number
Relationship
(
)
Alternate Phone Number
Medical Information (Voluntary)
Physician Name
Physician Number
Physician Street Address
City
State
Zip
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Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
Dietary & Allergy Information – Please indicate any special dietary needs or allergies including food
allergy, vegetarian, vegan, religious observance, etc.):
Areas of Interest – Tell us which areas interest you. Check all that apply.
Activities: CIT participants will assist camp staff in executing daily activities for the campers. The list of
interest areas are to help the staff appropriately place CIT participant with staff and/or groups that
will complement their interests. When an activity is not in session, CIT participants will assist with
breaks and all-camp activities.
Arts & Crafts
Dance
Field Games/Sports
Poetry/Writing
Music/Song leader
Nature
Photography/Video
Theater/Improv
Other (we are always looking for new ideas!)
List any other special interests, skills, or workshops you are willing to share at camp:
Do you play a musical instrument? If so, what kind and are you willing to help at opening and closing
circle with songs?
Experience/Motivation – Please answer each question below
Why do you want to be a volunteer at Camp Funtastic?
List any experiences you have had with children. What did you enjoy most, and least?
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Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
References – All Applicants
Please list three references below, such as a current or past employer, teacher or counselor. We will
contact these people to verify your experience and qualifications.
Name
Address
Phone
Relationship
New CIT Applicants Only – Please submit one (1) written letter of reference with this application. The
letter should be from a current or past employer, teacher, or counselor. Letter from relatives will not
be accepted.
Trip and Activity Approval - I, the undersigned, grant permission to my child(ren) to attend all Camp
Funtastic Excursions and Trips. I, the undersigned, hereby grant permission to my child(ren) to
participate in Camp Funtastic activities including but not limited to sports, crafts, games, field days,
and special events.
CIT Code of Conduct - The following activities are PROHIBITED at camp:
 Aggressive behavior toward campers, counselor, peers or parents (hitting, pulling, shoving.)
 Swearing or abusive language (name calling, teasing.)
 Sexual contact with campers, CIT peers, or staff.
 Conversations of a sexual nature.
 Being alone with a camper.
 Possessing a weapon or anything that can be perceived as a weapon.
 Having illegal drugs or alcohol at camp or on District Property.
 Cigarette smoking.
 Leaving camp without written permission from a parent or guardian.
 Not following the rules, policies and procedures of Camp Funtastic and the Pleasant Valley
Recreation and Park District.
Any person exhibiting behavior that the Recreation Supervisor or Camp Director deems as
inappropriate or unsafe will be a violation of the Code of Conduct. If the Recreation Supervisor or
Camp Director feel that the Code of Conduct has been violated, CIT participant will be disciplined
based on the Behavior Code listed below.
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Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
Behavior Code - Good behavior is expected at all times. Behavior problems constituting actions harmful to
others or disruptive to camp will be dealt with as follows:



First Incident-Verbal warning to the child with a time out session.
Second Incident-Parents will be notified.
Third Incident-Child will be denied (suspended) from participation in camp or field trip. Camp
Funtastic and the Pleasant Valley Recreation and Park District reserves the right to expel a CIT
immediately for behavior harmful to other campers or staff.
Unacceptable behavior and/or abusive language by parent or guardian may also result in a child being
expelled. No refunds will be issued for missed excursions, activities or expulsion from camp. I, the
undersigned, have read these rules and agree to the terms of Camp Funtastic’s behavior code.
Informed Consent and Release - I, the undersigned, voluntarily participating in the referenced activity,
understand that such participation does not establish or imply an employer-employee or an agency
relationship with the Pleasant Valley Recreation and Park District. I acknowledge and agree that some
activities may be of a hazardous nature and/or include physical and/or strenuous exercise or activity
and understanding this I state that I have no knowledge of any conditions that would prohibit my
child from safely participating. Please note: The Pleasant Valley Recreation and Park District does not
provide any insurance coverage of any kind for your participation. The Pleasant Valley Recreation and
Park District strongly recommends that appropriate insurance be obtained by each participant. I, the
undersigned, and in the event that the undersigned is under 18 years of age, the undersigned’s
parents or guardian, in consideration of the request and permission to participate in the referenced
activity, hereby assume full responsibility for all risk of injury or loss which may result from my
participation in this activity and hereby AGREE TO DEFEND, INDEMNIFY, HOLD HARMLESS, RELEASE
AND FOREVER DISCHARGE the Pleasant Valley Recreation and Park District respective officers,
employees, independent contractors and other agents and representatives (“the District”), past and
present, from any and all acts of negligence and all claims and demands whatsoever, which the
undersigned, any third person, or any persons acting under their behalf, have or may have against the
District by reason of any accident, illness, injury to or death of any person(s), or damage to or loss or
destruction of any property arising or resulting directly or indirectly from participation in the
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Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
referenced activity and occurring during said participation, or any time subsequent thereto. The
terms of this release will serve as a release and assumption of risk for my heirs, executors and
administrators and for all of my family members.
Permission for Medical Treatment and Transportation - I, the undersigned, hereby grant the
Pleasant Valley Recreation and Park District and agents thereof, permission to summon 911 in the
event that I or my child(ren) require advanced first aid or medical treatment. I further grant
permission to transport myself or my child(ren) to another center of advanced care. I grant
permission to any and all physicians, surgeons, medical personnel, and emergency medical
technicians or paramedics to treat myself or my child(ren) if such treatment is reasonably required.
Camp Hours and Extended Care Policy - Camp Funtastic hours are from 9:00am-4:30pm Monday
through Friday. Extended care hours are from 7:30am-9:00am and 4:30pm-6:00pm Monday through
Friday. CIT may be dropped off no earlier than 7:30am. CIT must be picked up no later than 6:00pm. I
understand that there is and agree to pay a $15 for every 15 minutes, or part thereof, that my
child(ren) attends camp beyond these hours. Notice: Under no circumstance may any child be left at
the camp facility unattended. Parents MUST sign children in and out of camp. I, the undersigned,
have read, understand, and agree to abide by the Camp Hours and Extended Care Policy.
Photographic Release - I grant the Pleasant Valley Recreation and Park District at its discretion and
free of charge, permission to use still photography of myself or my child(ren) participating in District
sponsored recreation programs for the purpose of publicizing said programs.
Refund, Credit and Cancelation Policy - I, the undersigned, agree to abide by the terms and
conditions outlined in the Refund, Credit, and Sick Day policy. I agree to have deducted from any
refund a $5.00 per day cancellation fee. I realize that no credit, refund, or transfer will be given
without a minimum of one business day notice. I further understand that credits, refunds, or
transfers will not be given for sick days or other absences.
Registration Policy - I, the undersigned, agree to abide by the terms and conditions outlined in the
Registration policy. I understand that the Pleasant Valley Recreation and Park District office staff
must receive registration a minimum of five business days in advance in order to qualify for the
regular camp rate and guarantee a space in camp. I understand that registrations received with less
than five business days’ notice will be accepted at a higher rate and are subject to availability.
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Counselor-In-Training Programs
Summer 2015 (June 15-August 21)
By signing below, I certify that all information on this form is complete and correct. I also agree to
immediately update this application in writing if and when any of the information becomes
inaccurate or incomplete. I hereby authorize the Pleasant Valley Recreation and Park District to
conduct a background check and to contact any references listed on this application form. I
understand that the falsification, misrepresentation, or omission of information requested is grounds
for refusal to accept the CIT application, or terminate my participation in the program. If I accept the
CIT position, I agree to abide by the standards of Camp Funtastic and the Pleasant Valley Recreation
and Park District and to fulfill my volunteer responsibilities to the best of my abilities.
I will be present at the following weeks of camp:
o Week 1: June 15 - 19
o Week 2: June 22 - 26
o Week 3: June 29 – July 2 (No Camp July 3)
o Week 4: July 6 - 10
o Week 5: July 13 - 17
o Week 6: July 20 - 24
o Week 7: July 27 – 31
o Week 8: August 3 - 7
o Week 9: August 10 - 14
o Week 10: August 17 - 21
Parent or Guardian Signature
Date:
CIT Signature
Date:
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