Summer Program Counselor
Young Scholars 2016 Program
Each summer, Clarkson University and The Clarkson School offer a weeklong residential
program entitled Young Scholars. This program provides an innovative, challenging summer
experience that attracts bright, creative and motivated young people. Young Scholars is designed
for students who will be entering their sophomore, junior, senior year of high school or first year
of college in the fall of 2016.
The position of Young Scholars Summer Program Counselor requires that students live oncampus from Saturday, July 10 through the early afternoon of July 16, 2016. Young
Scholars Summer Program Counselors must be at least 18 years of age by the start of the
summer program. Salary is $500 for the eight-day period, plus free on-campus room and board.
Candidates must be able to live and work with a diverse population of people. Further position
responsibilities include:
1) Overseeing program participants on a 24-hour per day basis.
2) Developing and implementing recreational activities during scheduled free time for
participants.
3) Working directly with the program director in order to ensure the effectiveness of the
program. Advisors and the director will meet each day.
4) Attending a brief training program prior to the beginning of the summer program.
5) Enforcing Clarkson University rules and regulations.
Applications are available in The Clarkson School Office (2nd floor Price Hall in The Clarkson
School/Honors Program office). For additional information, please contact the Young Scholars
Program Director, Brenda Kozsan, via phone at (315) 268-4425 or via email at
bkozsan@clarkson.edu.
Completed applications are due by March 1, 2016
Application for Camp Counselors
2016 Young Scholars Summer Program
Please print or type responses for all items requested below (no blanks).
Personal Information:
_____________________________________________________________________________
Last Name
First Name
Middle Name
___________________________________________________________________________________
Home Street Address/Box #
City
State
Zip Code
Phone# __________________ Cell phone#___________________email:________________________
Will you be at least 18 years old as of July 10, 2016? ______________ Student ID#: _______________
Driver’s License #:__________________________________________State:______________________
Are you an approved driver of Clarkson University vehicles?
Circle one:
YES or NO
If not, are you willing to seek certification and drive students?
Circle one:
YES or NO
Do you have any marks on your license?
Circle one:
If yes, what were the marks given for? (respond on back)
YES or NO
Educational Information:
College Name: _______________________________________________________________________
School Address: _____________________________________ School Phone: ___________________
Expected Graduation Date: ____________
Cumulative GPA (to date): ________________
Major: ____________________________
Minor/Concentration: _______________________
You also need to provide before or by March 1, 2016:




A Resume
Two Recommendation Letters (forms are attached)
Write an essay of approximately one page that addresses why you would like to be a
counselor for our summer program, your attributes or qualities that would make you a good
counselor and previous experiences that would be beneficial for this position. Please respond
on a separate sheet of paper and place your name on the page.
An interview may also be scheduled with qualified candidates.
Return application information to Brenda Kozsan, Young Scholars Director CU Box 5650, Potsdam, NY
13699-5650
YOUNG SCHOLARS PROGRAM
RECOMMENDATION FORM
CONFIDENTIAL
Directions to the Applicant - Please provide your name in the space provided and then indicate
whether or not you waive your right to have access to the recommendation.
To the Reference Provider - Please complete all sections provided and then return the form to
The Clarkson School office at the address provided below by no later than March 1, 2016.
Return to:
Brenda Kozsan
The Clarkson School
Potsdam, NY 13699-5650
Applicant’s Name: ________________________________________________________
In accordance with the Family Rights and Privacy Act of 1974 (as amended), I hereby:
 Waive my right to access this recommendation.
 Do not waive my right to access to this recommendation.
Student Signature: _________________________________________________________
--------------------------------------------------------------------------------------------------------------------Recommender’s Name: ____________________________________________________
For how long have you known the applicant? ____________________________________
In what capacity do you know the applicant? ____________________________________
The student named above has applied for the position of Residential Counselor for the week-long
Young Scholars Program. Young Scholars are rising high school sophomores, juniors, seniors or
entering first year college students who attend an interdisciplinary week-long residential
program. Your appraisal of this applicant will greatly help us in filling these positions with
effective dorm leaders.
Please rate the applicant, to the best of your ability, in the following categories. Circle the most
appropriate response for each category. If you have no basis for judgment in a category simply
leave it blank.
Maturity
Below Average
Average
Good
Excellent
Motivation
Below Average
Average
Good
Excellent
Self-discipline
Below Average
Average
Good
Excellent
Leadership
Below Average
Average
Good
Excellent
Energy and Initiative
Below Average
Average
Good
Excellent
Acceptance of Others
Below Average
Average
Good
Excellent
Warmth of Personality
Below Average
Average
Good
Excellent
Team Player
Below Average
Average
Good
Excellent
Communication Ability
Below Average
Average
Good
Excellent
Interpersonal Skills
Below Average
Average
Good
Excellent
Overall Recommendation: (circle one; please provide additional comments as needed)
Highly Recommend
Recommend
Recommend with Reservations
Do Not Recommend
Comments: ___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please return by March 1, 2016 to:
Brenda Kozsan, Associate Head of School
The Clarkson School
Potsdam, NY 13699-5650
YOUNG SCHOLARS PROGRAM
RECOMMENDATION FORM
CONFIDENTIAL
Directions to the Applicant - Please provide your name in the space provided and then indicate
whether or not you waive your right to have access to the recommendation.
To the Reference Provider - Please complete all sections provided and then return the form to
The Clarkson School office at the address provided below by no later than March 1, 2016.
Return to:
Brenda Kozsan
The Clarkson School
Potsdam, NY 13699-5650
Applicant’s Name: ________________________________________________________
In accordance with the Family Rights and Privacy Act of 1974 (as amended), I hereby:
 Waive my right to access this recommendation.
 Do not waive my right to access to this recommendation.
Student Signature: ________________________________________________________
--------------------------------------------------------------------------------------------------------------------Recommender’s Name: ____________________________________________________
For how long have you known the applicant? ___________________________________
In what capacity do you know the applicant? ___________________________________
The student named above has applied for the position of Residential Counselor for the week-long
Young Scholars Program. Young Scholars are rising high school sophomore, juniors, seniors or
entering first year college students who attend an interdisciplinary week-long residential
program. Your appraisal of this applicant will greatly help us in filling these positions with
effective dorm leaders.
Please rate the applicant, to the best of your ability, in the following categories. Circle the most
appropriate response for each category. If you have no basis for judgment in a category simply
leave it blank.
Maturity
Below Average
Average
Good
Excellent
Motivation
Below Average
Average
Good
Excellent
Self-discipline
Below Average
Average
Good
Excellent
Leadership
Below Average
Average
Good
Excellent
Energy and Initiative
Below Average
Average
Good
Excellent
Acceptance of Others
Below Average
Average
Good
Excellent
Warmth of Personality
Below Average
Average
Good
Excellent
Team Player
Below Average
Average
Good
Excellent
Communication Ability
Below Average
Average
Good
Excellent
Interpersonal Skills
Below Average
Average
Good
Excellent
Overall Recommendation: (circle one; please provide additional comments as needed)
Highly Recommend
Recommend
Recommend with Reservations
Do Not Recommend
Comments: ___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please return by March 1, 2016 to:
Brenda Kozsan, Associate Head of School
The Clarkson School
Potsdam, NY 13699-5650