Application for Summer Camp Counselor-in-Training Program Summer Camps at Swaner Preserve and EcoCenter Summer 2014 Name: ______________________________________________________________________ Mailing Address: _____________________________________________________________ City: ____________________State: __________ Zip: ______________ Home Phone: _____________________________ Cell Phone:_________________________ Email Address:________________________________________________________________ Grade you will enter in Fall 2014:___________ Age:___________ Date of Birth:_________ School you Attend:_____________________________________ □ Male □ Female Do you text? □ Yes □ No What is the best way to get in touch with you (Please circle one.) Home Phone Cell Phone Shirt Size (Please circle one): Adult S Email Adult M Text Adult L Mail Adult XL Other:______ On a separate sheet of paper, please respond to each of the following questions: 1. Why do you want to participate in the Summer Camp Counselor-in-Training program at Swaner? Please include what you hope to gain from participating in the program. 2. Describe any and all experiences you have had that are relevant to the Counselor-inTraining program. (Examples: experience working with children, experience teaching, First Aid/CPR experience, experience in leadership roles, etc.) 3. Describe three qualities/characteristics that you think are important for a summer camp counselor to possess. 4. How do you think you could uniquely contribute to the summer camps at Swaner Preserve and EcoCenter? 1 5. Please put a check mark next to all the camps that you COULD work. You will not necessarily be assigned to work at all the camps you select. Checking all camps that you are available to work will help the camp director when scheduling Counselorsin-Training to work the camps. In order to work a camp, you must be able to work each day of the camp. When selecting your availability, consider family vacations, camps and events you are attending, sports, etc. Discuss your summer schedule carefully with your parents/guardians. I Can Work at this Camp Date June 30-July 3 June 30-July 4 July 7-11 July 7-11 Time 8:00 am-1:00 pm 12:00-5:00 pm 8:00 am- 1:00 pm 12:00-5:00 pm July 14-18 8:00 am-4:00 pm July 21-23 July 21-23 July 28-August 1 July 28-August 1 8:00 am-1:00 pm 12:00-5:00 pm 8:00 am-1:00 pm 12:00-5:00 pm 8:00 am – 3:00 pm 8:00 am – 3:00 pm August 4-8 August 4-8 6. Grades Attending Camp Title this Camp Outdoor Exploration 1st and 2nd FUNdamental Science 3rd and 4th Outdoor Exploration 3rd and 4th FUNdamental Science 1st and 2nd 5th, 6th, 7th, EcoGeeks 8th Natural Art 3rd and 4th Natural Art 1st and 2nd Outdoor Exploration 1st and 2nd FUNdamental Science 3rd and 4th LEGO Robotics for 5th, 6th, and Beginners 7th LEGO Robotics for 5th, 6th, and Intermediates 7th Mandatory counselor training sessions will be held during the week of June 9-13, 2014 at Swaner EcoCenter. If selected as a counselor, will you be able to attend these trainings? □ Yes □ No 7. Are there are conflicts that you have during the week of June 9-13 that you know about now? These will not hurt your chances of hire, only help the camp director to better plan the dates and times of trainings (e.g., do you have sports practice only in the afternoon, music lessons in the morning, another job only on Fridays, etc.). Please list them below. 2 8. Please rank your preference for the following topics. Note that this asks you about your INTERESTS, not your experience with these topics. We are looking for what kinds of topics you are interested in, not what you have experience with. Topic Outdoor Education and Outdoor Experiences Sustainability, Environmental Technology Robotics Science I am very interested in this topic and would love to work at a camp focused on this topic I am somewhat interested in this topic and it would be okay to work at a camp focused on this topic I have no interest in this topic and would not like to work at a camp focused on this topic To Submit Your Application: Applications are due at the Swaner EcoCenter by 5:00 pm on Monday, April 28th. Drop your application form by the EcoCenter during open hours (Wednesday-Saturday, 10 am to 4 pm) or mail your application form to: Katherine Veeder Swaner EcoCenter 1258 Center Drive Park City, UT 84098 For questions, please contact Katherine Veeder at (435)797-8942 or katherine.veeder@usu.edu. **You must read and sign pages 4 and 5 for your application to be complete! 3 What is a Summer Camp Counselor-in-Training? A Summer Camp Counselor-in-Training serves as a junior camp counselor for 4-H summer camps offered at Swaner Preserve and EcoCenter. Counselors-in-Training help Camp Leaders and Camp Counselors run camps. Summer camps at Swaner are offered to youth in grades 1-8, and camp themes include science, outdoor exploration, robotics, and stewardship. The position of Counselor-in-Training is available to high school students (grades 9-12) that are younger than 16. The position is designed to provide these teens with valuable work and leadership experience. Who can be a Counselor-in-Training? Any teen in grade 9-12 that is under the age of 16 Where do the camps I would be working at take place? All summer camps will be based out of Swaner Preserve and EcoCenter in Kimball Junction, outside Park City. Why should I participate in the Counselor-in-Training program? Serving as a Counselor-inTraining can help boost your resume and provide you with valuable work and leadership experience. Experiences and work/leadership roles such as this look very good on a resume when applying for colleges or jobs. Serving as a Counselor-in-Training will give you: Leadership experience Teaching experience Work experience Opportunities to meet new people Opportunities to learn new information Opportunities to have LOTS of fun this summer Is there any pay involved in being a Counselor-in-Training? Counselors-in-Training earn money towards a life skills incentive. Each Counselor-in-Training will earn $2.40 per hour. This money will go towards purchasing a life skills incentive – something that furthers a passion, hobby, interest, or skill of yours. Examples of life skills incentives include ski passes, guitar lessons, horseback riding lessons, cameras, etc. Examples of items that do not qualify as life skills incentives include ipods, ipads, cell phones, etc. In order to receive the money for a life skills incentive, you must: 1) show up for each day of the camp you are assigned; 2) arrive on time each day; and 3) stay until the camp leader dismisses you each day. Each camp leader will sign off on your money earnings per camp. At the end of the summer, each Counselor-in-Training will be notified of the amount of money they earned towards a life skills incentive. You must submit your request for your incentive to the camp director by October 15th, 2014. If your request is not submitted by October 15th you will lose the money you earned. The camp director will determine if your request classifies as a life skills incentive. If the item can be purchased locally or online, the camp directory will purchase it for you. Some items may require the Counselor-in-Training to purchase the item and submit an original, itemized receipt for reimbursement. If the item you want costs more than you earned, you can still purchase the item. You will only get reimbursed for the amount of money you earned, and you will have to cover the remainder of the cost. 4 What would be my time commitment and responsibilities as a Counselor-in-Training? Submit a complete application on time – late applications will not be reviewed o A complete application consists of: pages 1-3 properly filled out and a signed copy of pages 4 and 5. Attend an interview with the camp director Attend training sessions during the week of June 9-14, 2014– dates and times of these sessions have not yet been determined Show up on time for every day of the camp you are assigned. You will usually be required to arrive 1 hour before the start of camp. Stay until the camp leader dismisses you every day of the camp you are assigned. Cleanup usually lasts 1 hour after camp ends. As a Counselor-in-Training you will: help with set-up and clean-up, play games, help with lessons and activities, supervise campers, keep campers safe, and answer questions. It is very important that every Counselor-in-Training shows up on the days they are scheduled to work. If they do not, the success of the camp is jeopardized. If you are sick on a day you are assigned to work you must notify the camp leader as soon as possible. I have read the information above and feel I can fulfill the commitments and requirements of a Counselor-in-Training. I have selected the dates/camps I am available to work with thought and consulted my parents/guardians about my summer plans. I understand that once the Counselor-in-Training schedules have been prepared, I am expected to attend at the assigned date and times. I have transportation available to and from the camps. Applicant Printed Name:____________________________________ Applicant Signature: _______________________________________ Date: __________________ Parent/Guardian Printed Name: ______________________________ Parent/Guardian Signature: _________________________________ Date: _________________ 5