2016 4-H SUMMER CAMP
JUNIOR CAMP STAFF
APPLICATION
4-H Summer Camp Staff Dates: June 25 – July 1, 2016
Applications are to be completed by All Junior Camp Staff applicants and returned to Tulare County UC
Cooperative Extension 4-H Office, 4437-B S. Laspina St. Tulare, CA 93274.

Interviews will be held the week of January 11, 2016, at the UCCE Tulare County 4-H Office.
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You will be notified regarding the date and time of interviews.
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Consult the 4-H Summer Camp Junior Camp Staff Guidelines for requirements and criteria.

Junior Camp Staff will pay a reduced rate camp fee, to be determined.
TYPE or Print USING BLACK/BLUE FONT COLOR
Name
Club
Youth Email Address
Youth Phone
Parent Email Address
Parent Phone
Address
City
Birthdate
Age
Years as a junior/teen leader
Zip
Current grade in school
Years as 4-H Camper
Years as a 4-H member
Years as 4-H Junior Camp Counselor
List other camps (non-4-H) that you have attended, include number of years.
I am applying for a Junior Camp Director Position.
I am applying for a Junior Camp Supervisor(s) Position.
I am only applying for a Junior Camp Staff Position.
If applying for Junior Camp Director and/or a Junior Camp Supervisor positions, please fill out the Junior Camp
Director and Supervisor addendum.
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USE ADDITIONAL PAGES IF NEEDED
1. List Junior Camp Staff responsibilities that you have had at previous 4-H camps and/or other camp leadership
experiences.
2. List any activities/organizations in which you currently participate (i.e. sports, band, FFA, year book, church, etc.) and
indicate leadership roles/offices you hold in those groups.
3. List other 4-H leadership (offices held, junior/teen leadership, chair of committees, etc.):
4. Explain why you want to be a Junior Camp Staff member and what you want to learn from your experience.
5. What experience do you have working with and providing leadership for youth between the ages of 9 – 13? Please
explain.
6. If you are asked to plan, organize, and teach a class at 4-H camp, what would you be willing to teach and briefly
explain what you would do?
7. If chosen to be a Junior Camp Staff member, how will you promote 4-H camp and encourage 4-H members to attend?
8. What skills do you possess as a result of past experiences or training that would help you in this position? (i.e. CPR
certificate, first aid certificate, craft courses, musical talent, school classes)
9. Rank the following responsibilities1-6 (#1 being your first choice and #6 being last choice) for what area you’d like to
help coordinate for planning camp.
Campfire
Crafts
Fishing
Recreation/Carnival/Games
Sports
Waterfront
10. Please rate the days of the week on your availability for evening camp staff meetings. Circle your response for each
day.
DAYS OF THE WEEK
OK
Bad
OK
Bad
MONDAY: Good
WEDNESDAY: Good
OK
Bad
Good
OK
Bad
TUESDAY: Good
THURSDAY:
Signatures required:
(By your signature, you give permission for your address, phone, and email to be distributed to 4-H camp staff.)
4-H Member
Date
Parent or Guardian
Date
I recommend this member for the position of Junior Camp Staff:
Community Club Leader
Date
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JUNIOR CAMP DIRECTOR AND SUPERVISOR ADDENDUM:
Junior Camp Staff applicants can apply for Junior Camp Director and/or one of four Junior Camp
Supervisor positions, if they meet the following qualifications.
Qualifications for Junior Camp Director and Supervisors:
 Has had previous experience at 4-H Camp as a Junior Camp Staff member.

Has had experience in a leadership role and or as a Junior or Teen Leader.

Willing to take on an advanced management roll, able to delegate, and work well with peers.

Has initiative and enthusiasm.

Enjoys being in the outdoors.

Enjoys working with younger members.

Has some camp skills related to the position (i.e. crafts, hiking, sports, recreation, storytelling, song
leading, fishing, etc.).

Lead the Junior Camp Staff Members that are assigned to help in organizing and planning the
department activities.
Please mark the position(s) you wish to apply for: (If selecting more than one, please rank
positions 1 - 5 , #1 being your high and #5 being low priority)
Junior Camp Director – Oversees all Junior Camp Staff members and Opening and Closing of
Camp.
Junior Camp Supervisor of Sports & Recreation: Oversees Fishing, Waterfront, Field, and
Shooting Sports activities.
Junior Camp Supervisor of Evening Activities: Oversees Dance, Carnival, and Games.
Junior Camp Supervisor of Crafts: Oversees Craft shed staffing and activities.
Junior Camp Supervisor of Campfire: Oversees Campfires each night.
If you are not selected for a Junior Camp Director or Supervisor position, are you willing to take a
Junior Camp Staff Position?
Yes
No
Please write a short essay on why you believe you are qualified to be the Junior Camp Director or a
Junior Camp Supervisor. Include your experiences as Junior Camp Staff at previous 4-H camps and
how you think those experiences will help you in this position. (Minimum of 250 words)
USE ADDITIONAL PAGES AS NEEDED
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