Area 14 4-H Camp: Chaperone Application
Adult chaperones are integral to making camp happen. In order to know how many youth we can serve, we need to know how many adults we will have present. 

Camp Chaperone Expectations:
https://drive.google.com/file/d/1iO_O024gEXw8-gEWUGuOcXFTHlIlv2i0/view?usp=sharing 

Area 14 consists of: Adams, Green Lake, Juneau, Marquette, & Waushara Counties

Applications are due March 1st, 2024

Camp Dates: Sunday, June 9th------Wednesday, June 12th at Camp Lakotah in Wautoma

COUNSELOR TRAINING- Training will be held on Thursday, May 30th from 5pm to 7pm in Adams-Friendship at the Extension Office (569 N Cedar St, Adams WI, 53910). This training is required for all counselors and HIGHLY suggested for chaperones. More information and exact location will be sent closer to the date. 

In order to make sure all of our youth and adults are safe every chaperone will need to be a certified 4-H volunteer. If you are not yet... DON'T PANIC! Your local 4-H educator will work with you to make that happen. 


What are the expectations to become a 4-H volunteer? 
Enroll in 4-HOnline as a volunteer.
Trainings/modules conducted in a variety of formats: 
-Growing Green (Previously VIP/Volunteers in Preparation Orientation)
-Supporting Youth Mental Health (Recommended)
-Building Safe Spaces
-Support You, Supporting Youth  
-Mandated Reporter

PLEASE... reach out to your county educator with any questions you have. 
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Email *
Name
Address, City, State, Zip
Phone
County 
Are you a certified 4-H leader? 
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Experience
Yes
No
I have been in 4-H before this year
I have been a 4-H Camper before
I have been a 4-H Camp Counselor before
I am Cardiopulmonary Resuscitation (CPR) Certified
First Aid Certified
Licensed Emergency Medical Technician (EMT)
Licensed Nurse/Doctor
Clear selection
What qualities & skills do you have that would make you a good adult chaperone? Please Explain
Every year, camp has a theme. This year our theme is "Let the SPARKS Begin" and centers the Olympics. What suggestion and ideas do you have for incorporating this into our camp?
What experiences ( 4-H and Non) do you have with working with young people ages 8-13, and ages 13-18? This is the age of campers and counselors. 
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