OHIO STATE UNIVERSITY EXTENSION

OHIO STATE UNIVERSITY EXTENSION

Geauga-Trumbull County 4-H Camp Counselor Application
June 14-19, 2020

It is time to start thinking about the Geauga-Trumbull County 2020 4-H Camp. Interested in serving as a Camp Counselor? Anyone age 15 and over may apply to be a 4-H Camp Counselor. (4-H membership is not a requirement.) All first-year counselors, regardless of their age, are considered counselors-in-training and work with experienced counselors. 

Application Process:
*	Complete the attached application.
*	Provide two references that are not relatives.
*	Submit the application, including both reference forms, to the Geauga County Extension office by December 31, 2019.
*	Participate in an interview: Tentatively scheduled for Tuesday, January 28, 2020, 6:30pm at the Geauga County Extension Office

Counselor and Counselor-in-Training Requirements:
*	Participate in all training and camp program planning meetings (attendance is required).Training begins in March and is held every Monday from 7:00-9:00pm until camp.
*	Participate in overnight counselor training at Camp Whitewood. Date: TBA
*	Participate in Counselor Organized fundraiser(s).
*	Must be available for entire week of camp 24/7.
*	Counselors 18 years old and older are required to obtain a BCI and may be eligible for reimbursement.
*	Camp: June 14-19, 2020 at Camp Whitewood, Windsor OH  *Camp ends on Friday night.

Selection Process:
*	Potential counselors will be notified in writing to participate in an interview. Counselors are responsible for contacting the Geauga County Extension Office to confirm their interest in participating in the interview.
*	All counselors participating in the interview selection process will be notified. 
*	Interview process may consist of one-on-one, group, and/or stations. 
*	Selected counselors must confirm their position as a 2020 Camp Counselor as indicated in their acceptance letter.

Serving as a camp counselor offers an opportunity to learn new skills, meet new people and have a great time at Camp Whitewood this summer. Additional copies of the Counselor Application are available online at http://geauga.osu.edu or by calling the Geauga County Extension Office, 440-834- 4656.

                                                                                                    geauga.osu.edu

CFAES provides research and related educational programs to clientele on a nondiscriminatory basis. For more information: go.osu.edu/cfaesdiversity.

4-H	EVENT/OPPORTUNITY: 4-H Camp Counselor, Geauga-Trumbull 4-H Camp June 14-19, 2020
DATE / DEADLINE: Applications are due to the OSU Extension Office no later than December 31, 2019.
PROGRAM DESCRIPTION:
The 4-H Camp Counselors are a group of 4-H teens selected to assist in being responsible for campers ages 8-14 during 4-H camp. As a result of participation, counselors will develop knowledge, skills, attitudes and aspirations needed for adult success, and the Geauga & Trumbull county 4-H program will be strengthened and expanded.  Roles and Responsibilities of 4-H Camp Counselors include:
•	Attend required trainings prior to camp
•	Market and promote camp
•	Serve in a leadership and teaching role to other counselors
•	Serve on committees or other groups to plan programs at camp
•	Conduct self in an appropriate manner before, during, and after camp while serving as a role model to campers and peers
•	Assist staff and other counselors with camp activities; work as a team to implement the activities
•	Know and understand all safety guidelines, including emergency procedures, associated with the camp and program areas
•	Follow and enforce camp rules
•	Assure for safety of campers at all times including in cabins, sessions, and large group activities
•	Be aware of child protection regulations and report any child abuse, sexual abuse, or neglect in accordance with university policy
•	Identify and respond to camper behavior issues
•	Ensure campers’ health and hygiene, e.g., brushing teeth, eating meals, taking medication, etc.
•	Promote camper participation during camp
•	Lead and supervise campers in activities at camp including but not limited to songs, teambuilding challenges, group activities, challenges, etc.
•	Teach and lead campers at workshops or during other components at camp (table setting, song leading, etc.)
•	Mentor and give guidance to campers to encourage positive youth development and enhancement of life skills
REQUIREMENTS:
•	Must be at least 15 years old by the start of camp.
•	Must be able to get transportation to meetings and events as needed.
•	Must complete a minimum of 24 hours of training and an overnight training at Camp Whitewood.
•	Must complete Ohio State University’s Child Abuse Awareness training.
•	Must Sign Standards of Behaviors, complete the Code of Conduct form, and have a current Ohio 4-H Health History form on file.
•	Provide two references of non-relatives.
•	If the individual is 18+ year old at least two months prior to camp, the individual must have their background check conducted.
SELECTION PROCESS:
•	Individuals who complete the application and fulfill application requirements will be contacted regarding the selection process.

TO APPLY:
•	Complete the application in its entirety.
•	Turn in reference forms from two non-family members.
•	Read and sign the Standards of Behavior and Camp Counselor Code of Conduct forms.
•	Return all materials to the Geauga County Extension Office by December 31, 2019.
•	

2020 GEAUGA-TRUMBULL COUNTY 4-H CAMP COUNSELOR APPLICATION
4-H Membership NOT required.
Due: December 31st

Name:	D.O.B.:  	

Address:  	

City:  	

Zip: 	

Phone:	Can you receive texts at this number?	yes	no

E-mail:	Do you regularly check this email?	yes	no

Current grade level:                                	

Are you a member of a 4-H Club (not a requirement)?	  Yes    		No

Have you ever attended camp as a camper?	Yes        No   If yes, when/where:			     

Have you been a counselor before?       Yes       No      If yes, when/where:			                 

Please check any certifications below that you hold:
CPR	First Aid	Lifeguard	Other:  	

Why are you interested in volunteering as a counselor? State at least three reasons.

What do you wish to gain from serving as a camp counselor and how will it benefit you in the future? 
What traits, skills, or special experiences do you have that would benefit you in this position? (Please include experiences working with children and youth.)

List any other camp/camp counselor (does not have to be 4-H) experience you have had or leadership experiences that would contribute to your being a capable and responsible counselor:

What experiences do you think camp should offer young campers?

What sets you apart from other counselor candidates? 

Are there any questions you have about being a counselor, 4-H camp, etc. that you would like answered during the interview process?

I have read and understand the responsibilities I will be expected to fulfill as a Geauga County 4-H Camp Counselor. I will strive to adhere to the policies of the Geauga County and Ohio 4-H programs. I understand that this agreement may be terminated by the volunteer or by the Ohio State University Extension staff if a violation of policy and/or requirements occurs.

Applicant Signature	Date  	

Parent/Guardian Signature	Date  	
(If applicant is under 18 yrs old.)

Submit a complete application, including references, to the Geauga Extension Office by December 31.

OSU Extension, Attn: Camp Counselors, P.O. Box 387, Burton, OH 44021.

4-H CAMP COUNSELOR REFERENCE FORM

 	is applying as a camp counselor for the Geauga-Trumbull 4-H Camp. The camp counselor selection committee would like your input about the qualities and ability to fulfill the responsibilities of a counselor. The information you include will not be shared with the applicant.
Please complete this reference form based on your knowledge and/or observations. Thank you for your help.

1.	Please mark how you would evaluate the applicant’s qualities, using this scale:
	Excellent	Good	Fair	Poor	Not Known	
Responsibility						
Communication skills						
Respect for others						
Dependability						
Enthusiasm						
Flexibility						
Patience						
Initiative						
Resourcefulness						
Ability to work with children (age 5-10)						
Ability to work with children
(ages 11-14)						
Ability to work with other teens						
Ability to work with adults						

2.	Please write any additional comments here:

Signed:	Date:  	

Printed Name:  	 Relationship to Applicant:  		

Email:  	

Phone:  	

Please return no later than December 31, 2019.
OSU Extension, Geauga County
P.O. Box 387, Burton, OH 44021

Please note: Please submit in a sealed envelope. 

                                                                                                             geauga.osu.edu

CFAES provides research and related educational programs to clientele on a nondiscriminatory basis. Formore information: go.osu.edu/cfaesdiversity.

4-H CAMP COUNSELOR REFERENCE FORM

 	is applying as a camp counselor for the Geauga-Trumbull 4-H Camp. The camp counselor selection committee would like your input about the qualities and ability to fulfill the responsibilities of a counselor. The information you include will not be shared with the applicant.
Please complete this reference form based on your knowledge and/or observations. Thank you for your help.

3.	Please mark how you would evaluate the applicant’s qualities, using this scale:
	Excellent	Good	Fair	Poor	Not Known	
Responsibility						
Communication skills						
Respect for others						
Dependability						
Enthusiasm						
Flexibility						
Patience						
Initiative						
Resourcefulness						
Ability to work with children (age 5-10)						
Ability to work with children
(ages 11-14)						
Ability to work with other teens						
Ability to work with adults						

4.	Please write any additional comments here:

Signed:	Date:  	

Printed Name:  	 Relationship to Applicant:  		

Email:  	

Phone:  	

Please return no later than December 31, 2019.
OSU Extension, Geauga County
P.O. Box 387, Burton, OH 44021

Please note: Please submit in a sealed envelope. 

                                                                                                            geauga.osu.edu

CFAES provides research and related educational programs to clientele on a nondiscriminatory basis. For more information: go.osu.edu/cfaesdiversity.