School District of Clayton
ENVIRONMENTAL EDUCATION PROGRAM
Sixth Grade Camp
APPLICATION FOR HIGH SCHOOL COUNSELOR
Name _____________________________________ Phone _______________
Email ____________________________________Grade _____ Date _______
Dietary restrictions? ______________________________________________
It is a time honored tradition in Clayton to enlist qualified junior and senior high
school students to be counselors at Sixth Grade Camp. The camp program this
year will be at Sherwood Forest in Lesterville, MO., starting September 27th
through October 2nd, 2015. Complete this application form immediately.
A.
B.
C.
D.
E.
Give two selected teachers a copy of the reference form.
Have your teachers sign off that you can attend camp.
Have a parent sign your application.
Sign up for an interview slot on the Google Doc on the website.
Bring completed application with you to your interview.
1. Did you attend camp as a sixth-grader?____________________________
2. Have you been a camp counselor before? _________ Where___________
3. What other camping experience have you had?
____________________________________________________________
____________________________________________________________
4. What experiences have you had working with children? _______________
____________________________________________________________
____________________________________________________________
5. In which of the following activities have you had experience? (Please
circle)
Nature Activities Hiking
Rock Hunting
Archery
Music/Instrument _______________
Song Leader
Campfires
Compass Orienteering
Weather
Canoeing
Rappelling
Life Saving (Certified? _______)
Rock Climbing
Knots
Improv Drama
Arts/Crafts
Team Challenge Activities
Plant/Animal Identification
What other special outdoor interests or skills do you have that you would
be able to teach to small groups?_________________________________
____________________________________________________________
7. Which school activities have you been involved in?___________________
____________________________________________________________
8. Do you have a sibling who is a sixth grader at Wydown? ______________
9. Are you in good health?________ Any limitation? (e.g. allergies, require
medicine, etc.)________________________________________________
10. References: Select two teachers, counselors, or administrators who know
you to serve as references. Enter their names on this application. Please
give them the Reference Form for Camp Counselor Applicant and ask
them to return it to Mr. Luhning.
6.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
11.
Please have you parent sign to indicate approval of your participation in
this program.
____________________________________________________________
(Parent or Guardian Signature)
(Date)
(Student Signature)
(Date)
Sixth Grade Camp
Camp Director, Terri Lawrence (314) 854-6400, terri_lawrence@claytonschools.net
Counselor Director, Erin Ott (314) 854-6441, erin_ott@claytonschools.net
COUNSELOR TRAINING
August 23rd, 2015
Welcome back! I hope you had a good summer and are rested and ready for a very busy
fall. Sixth grade camp is just a few short weeks away. Good time management will be
crucial these first weeks so that you can keep up with your school work and all your
other commitments.
Get out your planner and mark these training dates (location to be determined):
 Wednesday, September 16th, 6:30-8:30 pm
 Thursday, September 24th, 6:30-8:30 pm
We will distribute the counselor packets and go over important camp information at
these meetings. Pizza and drinks will be provided.
We will leave on Sunday, September 27th from STUBER PARKING LOT. You will need a
sleeping bag, day pack, water bottle, rain gear, appropriate clothing for camping/hiking
and a flashlight. Some parts of the training will be rigorous, so get plenty of sleep
beforehand. The training sessions are mandatory for all counselors.
The camp dates are Tuesday, September 29th – Friday, October, 2nd.
We look forward to working with you and creating a great camp for our sixth grade kids!
Respectfully,
Erin Ott & Terri Lawrence
School District of Clayton
Sixth Grade Camp Counselor
Teacher Sign-Off
Student Name_________________________________________________________
Sixth Grade Camp – Sept 27 – Oct 2, 2015
Please fill in your schedule and names of your teachers. Talk with your teachers about
working ahead before camp and making up missed work in a timely fashion. After you
talk with your teachers, have each teacher sign off, indicating that you have had this
discussion. Please bring this to you interview.
CLASS/COURSE
TEACHER
TEACHER SIGN-OFF
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
SPORT
COACH
COACH SIGN- OFF
________________________________________________________________________
________________________________________________________________________
School District of Clayton
Reference Form for Camp Counselor Applicant
Sixth Grade Camp
Applicant’s Name __________________________________________________
This applicant interested in becoming a Sixth Grade Camp Counselor. Camp
counselors this year will go to camp during the week of Sept 27-Oct 2. Camp
counselors not only play an important role in the successful operation of the
program, but they build valuable leadership skills through this service. They must
possess the necessary skills for being part of an intensive daily program. We are
looking for high school students who have leadership potential, can be role
models for sixth grade students, are mature, responsible, and receptive to
directions and advice, can work under stressful conditions, have a sense of
humor, and are willing to learn “on the job.”
Your recommendation is vital to our program since you can give us valuable
insight into this applicant. Please return this recommendation to Ryan Luhning
by Friday, September 4, 2015 or sooner. All information is CONFIDENTIAL.
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Scholastic Performance:
Recommendation:
Weak____
Yes____
Average_____
Good____
No____
Teacher’s Signature_______________________________ Date_______
School District of Clayton
Reference Form for Camp Counselor Applicant
Sixth Grade Camp
Applicant’s Name __________________________________________________
This applicant interested in becoming a Sixth Grade Camp Counselor. Camp
counselors this year will go to camp during the week of Sept 27-Oct 2. Camp
counselors not only play an important role in the successful operation of the
program, but they build valuable leadership skills through this service. They must
possess the necessary skills for being part of an intensive daily program. We are
looking for high school students who have leadership potential, can be role
models for sixth grade students, are mature, responsible, and receptive to
directions and advice, can work under stressful conditions, have a sense of
humor, and are willing to learn “on the job.”
Your recommendation is vital to our program since you can give us valuable
insight into this applicant. Please return this recommendation to Ryan Luhning
by Friday, September 4, 2015 or sooner. All information is CONFIDENTIAL.
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Scholastic Performance:
Recommendation:
Weak____
Yes____
Average_____
Good____
No____
Teacher’s Signature_______________________________ Date_______