Nativity Youth Camp
Junior Counselor Application Form
PLEASE RETURN BY June 1, 2011
For NYC – 2011 we may need Junior Counselors to assist the Counselors and staff. As a
ninth grader, you are eligible for consideration to be a Junior Counselor.
Junior Counselors must:
 Have completed 9th grade
 Be active in the parish
 Be active in church school and youth events
Junior Counselors will be expected to:
 Attend and assist with camp fundraisers
 Attend a training session with Mr. Raymond Arcario, the Camp Director
 Attend camp; Friday June 17th through Saturday June 25th
 Help set-up and break down the camp – Camp is not over until everything is
packed and we are ALL ready to drive home
 Participate in the Camp Eucharist at the Cathedral on “Camp Sunday”, June
26th
 Abide by Community Life Standards as set by the Diocese for youth events
(A copy is attached)
As a Junior Counselor, you are expected to assist the staff and counselors and be willing to
follow their leadership and the direction of the Camp Director. The position of Junior
Counselor can give you the opportunity to learn good counseling skills with the hope that
you will be invited to be a counselor in the future. As a Junior Counselor, your primary job
will be to assist the counselors and the adult staff to ensure that the campers enjoy
themselves, are safe, and feel a part of your group by participating in every aspect of camp.
If you are interested in being a Junior Counselor this year, please fill out this form and
return it to the Cathedral office Attention: Mr. Raymond Arcario – Camp Director. After we
have reviewed all applications and determined our needs this year, we will let you know the
counselor assignments.
Thank you and I know we all look forward to another wonderful Nativity Youth Camp!!!
Junior Counselor Application
Nativity Youth Camp 2011
Name:
___________________________________________________________________
Address:
___________________________________________________________________
___________________________________________________________________
Phone:
_________________________e-mail: ____________________________________
Current Grade in School: ____________
Birth date: _______________________
Why do you want to be a counselor?
What skills and qualities would you bring to the role of counselor?
Will you be available for the ENTIRE camp session, June 17 through June 25?
Please list any parish or diocesan activities with which you are involved:
Both my parents/guardians and I have read the attached statement outlining the responsibilities for
the position of Camp Counselor at the Nativity Youth Camp as well as the Community Life Standards.
We understand these duties.
Signed:_________________________________________________________
Parent/Guardian
Date
Signed:_________________________________________________________
Counselor Applicant
Date
This form must be returned to the Cathedral Office
Attention: Mr. Raymond Arcario - Camp Director no later than June 1, 2010.
Community Life Standards for Nativity Youth Camp
(Conforms with Diocesan standards for youth events)
1. No illegal use of drugs and no use of tobacco or alcohol will be allowed at camp.
2. There will be a set curfew at camp. Campers and counselors are expected to abide
by curfew times.
3. Everyone will be expected to attend and participate in all camp activities.
4. No “visitors” allowed during camp. A visitor is defined as a person who is not
registered for camp and is unexpected.
5. No one leaves the campsite without the permission of the camp director.
6. Youth may not drive other youth at camp. All drivers during camp must on camp
staff and be 21 years of age or older.
7. Visiting in cabins by members of the opposite sex is prohibited. All meetings of
friends of the opposite sex will occur in designated community areas.
8. Public displays of affection that are a distraction from participation in camp will not
be allowed.
9. Offensive language and offensive conversation will not be allowed.
A warning will be given for breaking rules about:
 Curfew
 Language
 Public Displays of Affection
 Participation in activities
Counselors will be sent home for repeatedly breaking the rules above or for breaking the
following rules:
 Illegal drugs, tobacco, and alcohol
 Leaving the campsite
 Going to the river without adult permission and adult supervision
The Camp Director will make all decisions concerning sending anyone home.
If a youth is to be sent home, their parents or other designated adult will be called to pick
up the youth as soon as possible.
Name of Participant: ____________________________________________________
Signature of Parent/Guardian: ____________________________ Date: ___________
I hereby agree to abide by all the rules of camp. I fully understand the consequence if a rule is broken.
Signature of Participant: ________________________________ Date: ___________