Worker/Counselor Application

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CAMP GRACANICA SUMMER 2015
Third Lake, Illinois
THE SERBIAN ORTHODOX DIOCESE OF NEW GRACANICA-MIDWESTERN AMERICA
The Diocesan Kolo of Serbian Sisters
APPLICATION FOR CAMP WORKER
Please type/print clearly. Applications are due on May 25, 2015. Return this application to:
Donna Ivancevic 869 Boone Dr. Carol Stream, IL 60188 (630) 234-5619
campgracanica@gmail.com
NAME____________________________________________________________
ADDRESS_____________________________ E-MAIL: __________________________
CITY _____________________ STATE _________ ZIP CODE ________SEX:
M / F
DATE OF BIRTH _______________ AGE_____HOME PHONE (_____)___________________
HEIGHT _________ WEIGHT __________
CELL PHONE: (_____)____________________
YOUR PARISH NAME ______________________________CITY/STATE__________________
ARE YOU BAPTIZED OR CONVERTED IN THE ORTHODOX FAITH? YES / NO
HAVE YOU WORKED AT CAMP GRACANICA BEFORE? ______ WHEN? _______________
IN WHAT CAPACITY? ___________________________________________________________
CAPABILITY OF SERVICE (CHECK ONE): *
NURSE _______ HOUSEMOTHER _______ KITCHEN HELP _______ COUNSELOR_______
INDICATE THE WEEK(S) YOU WOULD BE AVAILABLE:*
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JUNE 28- JULY 4, 2015
1ST- 12TH GRADES (MINIMUM AGE 18 BY JULY 1)
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JULY 5 –JULY 11, 2015
1ST- 12TH GRADES (MINIMUM AGE 18 BY JULY 1)
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JULY 12 –JULY 19, 2015
1ST- 12TH GRADES (MINIMUM AGE 18 BY JULY 1)
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JULY 19– JULY 25, 2015
9TH - SENIORS
(MINIMUM AGE 21 BY JULY 1)
T-Shirt Size: Adult S__M__L__XL___XXL___
PRESENT OCCUPATION: __________________________MARITAL STATUS:_____________
IN WHICH OF THE FOLLOWING AREAS DO YOU HAVE TRAINING OR EXPERIENCE?
ARTS AND CRAFTS __________________________ MUSIC ___________________________
DANCE ____________________________ CHRISTIAN EDUCATION_____________________
COUNSELING ________________________ SPECIALTY SPORTS (SPECIFY) _____________
OTHER (SPECIFY)_____________________________________________________________
*PLEASE UNDERSTAND THAT CAMP GRACANICA CANNOT GUARANTEE THAT THE POSITION APPLIED FOR WILL BE
AVAILABLE.
CAMP APPLICATIONS ARE REVIEWED BY THE CAMP COMMITTEE ON A MONTHLY BASIS. APPLICANTS WILL BE
NOTIFIED WHEN APPLICATION IS RECEIVED AND THEN WHEN APPLICATION IS REVIEWED BY THE CAMP COMMITTEE.
DO YOU HAVE SUMMER CAMP EXPERIENCE? _____________________________________
IF YES, NAME & LOCATION OF CAMP _____________________________________________
TYPE OF EXPERIENCE ________________________________________________________
PLEASE INDICATE YOUR LEVEL OF FORMAL EDUCATION:
HIGH SCHOOL ______________________________ CLASS ___________________________
COLLEGE ___________________________________MAJOR _________________________
GRADUATE SCHOOL _________________________MAJOR __________________________
OTHER SCHOOLS OR EXPERIENCE ____________________________________________
NAME OF YOUR PARISH PRIEST_________________________________________________
DO YOU SUFFER FROM AN ILLNESS OR HAVE ANY DISABILITY THAT MIGHT RESTRICT YOUR ACTIVITY?
YES / NO
IF YES, ERGIVE DESCRIPTION___________________________________________________________
Any behavior unbecoming camp staff will result in immediate dismissal. Camp Gracanica strictly prohibits
alcoholic beverages, illegal drugs, fireworks, or weapons of any kind!
Any violation of these rules will result in immediate expulsion from camp!
IN ORDER TO ENCOURAGE OUR YOUNG ADULTS TO VOLUNTEER AS COUNSELORS, AND TO BE ABLE TO
ACCEPT MORE CAMPERS, WE ASK THAT PARENTS VOLUNTEER FOR POSITIONS OTHER THAN
COUNSELORS, i.e., KITCHEN HELP, ETC., WHICH MEANS THE APPLICATIONS RECEIVED FIRST WILL BE
ACCEPTED.
CONSENT
In the event of an accident or medical need, I will be responsible for all medical or other expenses and will not hold
responsible Camp Gracanica, the Serbian Orthodox Diocese of New Gracanica-Midwestern America, or the Diocesan
Kolo of Serbian Sisters responsible. I also agree to the terms and Guidelines for Camp Workers of the Camp Gracanica.
Signature of applicant: ____________________________________ Date ____________
Signature of parent (if applicant less than 18): ___________________ Date ___________
SIGNATURE OF PARISH PRIEST:___________________________________DATE_________
Camp Gracanica provides room and board for all staff. If other arrangements are made off the campgrounds,
Camp Gracanica, the Serbian Orthodox Diocese of New Gracanica-Midwestern America, or the Diocesan Kolo
of Serbian Sisters assume no responsibility for any expenses that may occur.
For Official Camp Administration Use Only:
Application Approved by:
Date:
Applicant Notified (Date):____________
Comments:__________________________________________
___________________________________________________
CAMP GRACANICA
THE SERBIAN ORTHODOX DIOCESE OF NEW GRACANICA-MIDWESTERN AMERICA
in cooperation with
The Diocesan Kolo of Serbian Sisters
CAMP COUNSELOR JOB DESCRIPTION
By the nature of its responsibility and by the influence on the campers, a counselor is one of the most important persons at
camp. Here is a guiding list of the counselor’s responsibilities:
1.
2.
3.
4.
Each counselor will be assigned to his/her own group.
The counselor will sleep in the same room with his/her group.
Counselors are to see that campers attend scheduled classes and all other activities.
Counselors are to attend church services with the campers and ensure that they are on time. Counselors should
supervise their behavior in the church.
5. Counselors are to counsel the campers, and if a problem arises, they should consult with the camp director, camp
chairman or co-chairman.
6. No verbal or physical punishment is allowed in the camp.
7. Counselors should set an example of Christian behavior for the campers.
8. Counselors may leave the premises only to accompany and supervise campers on field trips.
9. Counselors are to attend meetings called by the coordinator or the priests.
10. Counselors should report to the camp on Sunday by noon
11. Counselors will be required to meet for a mandatory orientation (date will be provided at a later time) prior to camp
with the Camp Staff.
12. Counselors will NOT make campers walk or run through graveyard at night as punishment.
13. Counselors must comply with the established dress code, as noted below:
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THINGS TO BRING
For Church Services: Long dress pants (no jeans) and polo or other nice shirt for men/boys. Women/girls must wear a
dress or skirt (knee-length or longer), and shirt.
Jeans, shorts (shorts above mid-thigh are unacceptable, no writing on the back side of shorts or pants)
T-Shirts (halter, exposed midriff, cut-off sleeve and spaghetti-strap shirts are unacceptable)
Gym shoes, sturdy walking shoes, beach/shower sandals
Underwear and socks
Modest ONE-PIECE swimsuit*
Sweatshirt or sweater
Pajamas and bathrobe
Rain jacket or poncho
Pillow, sheet and pillowcase and/or sleeping bag
Towels, washcloth and beach towel
Insect repellent and sunscreen (no aerosols, please)
Toiletries: Comb, hairbrush, toothbrush and paste, soap, shampoo, deodorant, etc.
Any counselor wearing clothing deemed inappropriate by the camp clergy or camp staff member will be told to
change immediately. If they do not oblige they will be sent home!
Applicant Signature:_________________________________________Date:________________
COUNSELORS: PLEASE MAKE A COPY OF THIS SHEET FOR YOUR REFERENCE
CAMP!
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