2014 4-H Teen Leader Camp Application
Due: Monday, November 22, 2013 NO LATE APPLICATION ACCEPTED
Return completed application to: Howard County 4-H Camp
3300 N. Ridge Rd, Suite 240, Ellicott City, MD 21043
ALL APPLICANTS MUST ATTEND ONE TRAINING:
December 8th 1-4p.m. or December 14th 9am - Noon
Interviews will be held on Saturday, January 4th
Name: ______________________________________ Email: _____________________
Address: _______________________________________________________________
Home Phone: _______________________________ Cell Phone: __________________
Parent/Guardian Name: _______________________ Cell Phone: ___________________
Birth Date: _____________________
Age (as of 1/1/14): ________________________
Number of years you have previously attended Howard County 4-H Camp: _______________
What other camps have you attended? _________________________________________
Leadership positions held at camp, 4-H, school, or in community. Please include as much
information as possible:
The University of Maryland Extension programs are open to any person and will not discriminate against anyone because of race, age, sex, color, sexual orientation,
physical or mental disability, religion, ancestry, national origin, marital status, genetic information, political affiliation, and gender identity or expression.
Position applying for – please check:
Nation Leader (4-H age 16 & up with 2 years prior experience as a Teen Leader with at least 1 year as a Tribe Leader)
Tribal Leader (4-H age 15 and up)
Assistant Tribe Leader (4-H age 14 and up)
Leaders In Training (LIT 4-H age 13 and up or 1st year)
What experience have you had working with youth other than Camp?
If you held a camp Teen Leader position last year, in what way did you help the campers have a
memorable experience?
How would camp benefit by having you as a part of the staff?
Why are you applying for a position?
The University of Maryland Extension programs are open to any person and will not discriminate against anyone because of race, age, sex, color, sexual orientation,
physical or mental disability, religion, ancestry, national origin, marital status, genetic information, political affiliation, and gender identity or expression.
2014 4-H Teen Leader Camp Application
What do you feel you would gain from this camp leadership experience if accepted? If you were part of
the leadership team in 2013, what did you gain from that experience?
Do you have any suggestions for new activities or electives this year?
Please check the training and/or certificates you already have, if accepted for a position; a copy of your
certificates must be placed in your file.
Red Cross First Aid Certification
Water Safety Instructor or Life Guard
Know basic Sign Language
Would you be interested in being a Teen Leader for a new Howard County Day Camp in addition to the
Residential camp?
YES
NO
The University of Maryland Extension programs are open to any person and will not discriminate against anyone because of race, age, sex, color, sexual orientation,
physical or mental disability, religion, ancestry, national origin, marital status, genetic information, political affiliation, and gender identity or expression.