Dane County 4-H
Beginning Camp Counselor Application
Dane County 4-H Camp will be held at Upham Woods in Wisconsin Dells on the following dates:
July 28-31, 2016 (Junior Camp, grades 3-5) *This is a Thursday through Sunday*
July 31-August 3, 2016 (Senior Camp, grades 6-8) *This is a Sunday through Wednesday*
REQUIREMENTS
 Must complete grade 9 by June 17, 2016
 No experience as a counselor at Dane County 4-H Camp
Participate in an interview (see below)
 Two letters of recommendation ARE REQUIRED. Please include with your application.

Letters of recommendation should be from 4-H leaders or other adults. Do not use family
members, Camp Committee members, or Dane County Extension 4-H staff.
INTERVIEWS
Interviews will be held on Thursday, March 3, 2016 from 5:30-8:00 pm at Waunakee High
School at 301 Community Drive, Door #9, Waunakee and Saturday, March 5, 2016 from 9:3011:30 am at Fen Oak. Interviews will last 30 minutes. Please schedule your interview by
February 12, 2016 at this website:
http://doodle.com/poll/9khfhg4ytbzkzhbs
TO APPLY
 Complete and sign application (parent must also sign)
 Include two letters of recommendation
 Schedule an interview time
 Return application & letters of recommendation to:
4-H Camp Committee
Dane County UW Extension
1 Fen Oak Court, Room 138
Madison, WI 53718-8812
ALL MATERIALS MUST BE IN AND INTERVIEW SCHEDULED BY:
FEBRUARY 12, 2016
**The camp committee maintains a high standard of selection criteria when choosing counselors. Please be
mindful of this when completing your application and preparing for your job-like interview**
University of Wisconsin-Extension, U.S. Department of Agriculture and Wisconsin counties cooperating. UW-Extension provides equal opportunities in employment
and programming, including Title IX and ADA. Please make requests for reasonable accommodations to ensure equal access to educational programs as early as
possible (10 days is reasonable) preceding the scheduled program, service or activity. Call (608) 224-3705 or 224-3728 to request an accommodation.
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DANE COUNTY 4-H CAMP
BEGINNING COUNSELOR APPLICATION
Name________________________________ Club_________________________
Address_____________________________________ Phone_________________
Current Grade______ Date of Birth________________ Age as of 7/1/2016_______
Circle: Male
Female
Email:___________________________________
Alternate Email: ___________________________
*Please be advised that we will communicate with you through e-mail throughout the year
so it is important that you check your e-mail regularly.*
Counselors will be assigned to one camp session. Please rank your preferences with “first” and
“second”. If you are not available for a particular session, put “No” on the line.
____Junior Camp July 28-31
____Senior Camp July 31-August 3
____ No Preference
Does your availability to be a camp counselor depend upon whether you get a summer job or
other commitments? _________Yes __________No
Approximately 20 positions will be filled. Selection for the 2016 4-H Camp Staff will be based
upon quality of application, interview and letters of recommendation. Applicants will be
notified of the status of their application by March 14, 2016.
Counselors are expected to attend all training sessions listed below. Please mark the following
dates on your calendar:
Training Dates:
Sunday May 15, 2016; 1:00 – 4:00 pm at Hoffman Farm, 7001 County Rd C, Sun Prairie
Thursday June 16, 2016; 6:00 – 9:00pm at Waunakee High School, Door #9
Monday June 27, 2016; 6:00 – 9:00pm at Fen Oak
Tuesday July 12, 2016; 6:00 – 8:30pm at Fen Oak
An optional training will be held at Upham Woods on April 2 & 3, 2016. Attendance at
this training will be at your own expense.
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Questions:
1. Have you been a camper at Dane County 4-H camp? ________. If yes, # of Years ____
2. Describe four experiences and or responsibilities you have had teaching and or working with youth,
ages 8-14.
3. Why do you want to be a camp counselor?
4. What qualities do you possess that would make you a good counselor?
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5. We are always working to make camp a positive experience for everyone involved. Please describe
at least one idea you have to ensure all campers have a positive experience at camp.
6. What expectations do you think campers have of their camp counselor? What would you do to meet
those expectations?
7. What expectations do you think parents have of their child’s camp counselor? What would you do to
meet those expectations?
8. What do you hope to learn if you are selected as a camp counselor?
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Please read the following statements and sign if you agree to these terms and conditions:
1.
I understand that simply applying for a 4-H Camp Counselor position does not guarantee me a
counseling position.
2.
I understand that I will not be considered unless I submit my complete application and two letters of
recommendation by the due date listed below.
3.
I understand that I may be required to pay part of the cost of attending camp.
4.
This application has been completed by me and the information that I have stated is true.
_______________________________________________
(Signature of Applicant)
________________________
(Date)
I support my child’s application for being a Dane County 4-H Camp Counselor.
_______________________________________________
(Signature of Parent/Guardian)
________________________
(Date)
APPLICATION & LETTERS OF RECOMMENDATION
DUE FEBUARY 12, 2016
Revised: 12/21/15
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