2021 Georgia 4-H Summer Camp Counselor Application -- Form A

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This form is for applicants without previous experience as counselors in the Georgia 4-H Summer Camping Program. Applicants will receive notice regarding Counselor Selection Weekend at Rock Eagle 4-H Center, Saturday-Sunday, January 9-10, 2021. Please contact Charlie Wurst (cwurst@uga.edu) if you anticipate difficulty in attending Counselor Selection Weekend.

THIS APPLICATION MUST BE SUBMITTED BY FRIDAY, NOVEMBER 20, 2020.

Instructions: Please provide as complete and accurate answers as possible to the questions on this application. When you have completed the application, click the "Submit" button at the end of the form.

Questions that require an answer are marked by an asterisk (*). If you have difficulty submitting the form, please be sure you have answered all questions requiring an answer.

It is our intent that in 2021, the Georgia 4-H Camping Program will operate at Georgia's five 4-H facilities -- Burton 4-H Center on Tybee Island, Camp Jekyll, Fortson 4-H Center, Rock Eagle 4-H Center, and Wahsega 4-H Center. Of course, much depends on the status of the COVID-19 pandemic at that time.

AGAIN THIS YEAR, TO COMPLY WITH UGA STUDENT WORKER GUIDELINES, ALL COUNSELORS ARE REQUIRED TO BE ENROLLED AS A STUDENT IN BOTH THE SEMESTER BEFORE AND AFTER THE SUMMER THEY SERVE AS A COUNSELOR. THE STUDENT WORKER ENROLLMENT REQUIREMENT IS SATISFIED BY ENROLLMENT IN HIGH SCHOOL OR AT LEAST HALF TIME ENROLLMENT AT ANY INSTITUTE OF HIGHER EDUCATION (IN STATE, OUT-OF-STATE, TECHNICAL COLLEGE OR SCHOOL, PRIVATE SCHOOL, USG INSTITUTION, UNDERGRADUATE OR GRADUATE SCHOOL).

DO NOT COMPLETE THIS APPLICATION IF YOU DO NOT INTEND TO BE ENROLLED AS A STUDENT DURING THE 2021 SPRING AND FALL SEMESTERS AS DESCRIBED ABOVE. PROOF OF ENROLLMENT MAY BE REQUIRED BEFORE YOU ARE HIRED AS A COUNSELOR.

If selected as a counselor, those applicants assigned to a waterfront position, including all small camp counselors, will be required to possess or obtain American Red Cross lifeguard certification before the camping season begins.

Counselor training is very important to the success of the camping season. You will be expected to participate in two counselor training weekends if selected to be a counselor. Those weekends include:

February 26-28, 2021 All Counselor Training Rock Eagle 4-H Center

And one of the following weekends, depending on your Center assignment:
March 19-21, 2021 Rock Eagle Training Rock Eagle 4-H Center
March 26-28, 2021 Fortson Training Fortson 4-H Center
March 26-28, 2021 Wahsega Training Wahsega 4-H Center
April 9-11, 2021 Burton Training Burton 4-H Center on Tybee Island
April 9-11, 2021 Jekyll Training Camp Jekyll

Please consider these training dates when applying for counselor employment. YOU SHOULD NOT APPLY TO BE A COUNSELOR IF YOU EXPECT TO MISS BOTH OF THE SPRING TRAINING WEEKENDS.

First Name *

Last Name *

Phone *

Please enter in the format "xxx-xxx-xxxx"

E-mail Address *

Gender *

For housing purposes

Female

Male

County *

District *

Northeast

Northwest

Southeast

Southwest

Extension Agent/Educator/Program Assistant Name *

Extension Agent/Educator/Program Assistant E-Mail Address *

Student Worker Employment Requirement *

TO COMPLY WITH UGA STUDENT WORKER GUIDELINES, ALL COUNSELOR APPLICANTS ARE REQUIRED TO BE ENROLLED AS A STUDENT IN BOTH THE SEMESTER BEFORE AND AFTER THE SUMMER THEY SERVE AS A COUNSELOR.

YES, I understand the requirement that I must be enrolled as a student in the Spring and Fall semesters in 2021 to serve as a summer camp counselor in 2021 and that I may be required to provide proof of enrollment.

Required

High School Graduation Status *

You must be a high school graduate as of Sunday, May 23, 2021, to submit this application.

I certify that I will have graduated high school by Sunday, May 23, 2021.

Required

Last Day of Classes *

Please list the last day of your high school or college spring term classes in the format "mm/dd/yyyy"

Academic Standing *

Give your GPA, numeric average grades, class ranking, or some other measure of your academic standing from your most recently completed academic term

Placement Preference *

Please rank, with 1 as your first choice and 5 as your last choice, where you wish to be employed as a 4-H camp counselor

Burton on Tybee

Fortson

Jekyll

Rock Eagle

Wahsega

American Red Cross Lifeguard Certification Status *

Waterfront counselors, including all small camp counselors, are expected to possess or acquire Red Cross certification. Check one box to indicate your status.

I currently possess or am working toward Red Cross certification, WHICH I WILL POSSESS BEFORE JANUARY 9, 2021.

I wish to be considered for a waterfront/small camp position

I WOULD NOT like to be considered for a waterfront/small camp position where lifeguard certification is required

4-H Experience

Number of years as an actively enrolled 4-H member *

List major 4-H projects and activities of the last three years *

List 4-H offices held *

Include the year offices held

List specific experience working with or providing leadership to younger 4-H'ers *

Include dates of experience; do not include activities listed above in "major 4-H projects and activities of the last three years"

Other Leadership Experience

List leadership positions held in your school, community or organizations other than 4-H *

Include year

List specific experience working with or providing leadership to younger people outside of 4-H

Include year

Personal Statements

Why are you seeking a position as a 4-H summer camp counselor? *

Assess your ability to meet the physical demands of the job *

Counselors work in very demanding environments over a very long day, with exposure to extreme heat for about six hours per day. Good physical condition is necessary to maintain a rigorous schedule.

Assess your ability to establish and maintain good personal and working relationships with your peers *

4-H camp is the first time many counselors have lived away from home and with others. It may also be the first time many have had to work in a large organization.

Camping Experience and Skills

List camps attended, including 4-H camping experience *

Provide the year, name of camp, type of camp, length of stay, and role (e.g. camper, leader, intern) for each camping experience

Instructional Preference *

Rate your degree of knowledge, ablility to teach others, and experience in these particular activity areas

None

Some

Much

Archery

Canoeing

Conservation

Ecology (lake, marsh, beach, forest)

Entomology

Foods and Nutrition

Forestry

Health and Fitness

Herpetology

Native American Culture

Recreational Games

Sailing

Swimming

Wildlife

Please give specific examples to support any rating of "Much" in the question above *

Skills Inventory *

Check the degree of your skills, knowledge or interest in each of the activities listed

None

Some

Much

Arts and Crafts (e.g. wood, metal, leather, painting)

Dancing (e.g. formal training, folk, line, popular)

Performing Arts (e.g. musical instruments, singing, drama)

Reflections (presenting, writing or staging vespers and inspirational pieces)

Sports (e.g. softball, volleyball, soccer, ultimate Frisbee, gymnastics)

Please give specific examples to support any rating of "Much" in the question above *

References

Please provide three references. Teachers, principals, guidance counselors, former employers, etc. are some examples of references. PLEASE DO NOT LIST RELATIVES OR YOUR COUNTY EXTENSION AGENT/EDUCATOR/PROGRAM ASSISTANT AS REFERENCES. You may list other Cooperative Extension personnel outside of your county. Please complete the reference section completely and accurately to avoid delay in processing your application.

Reference #1 Name *

Reference #1 EMAIL Address *

Reference #1 Phone Number *

Reference #2 Name *

Reference #2 EMAIL Address *

Reference #2 Phone Number *

Reference #3 Name *

Reference #3 EMAIL Address *

Reference #3 Phone Number *

Certification

Certification Statements *

I certify that the information provided on this application is true and accurate to the best of my knowledge.

I understand my County Extension Agent/Educator/Program Assistant will complete a reference form supplementing this application.

Required

Submit

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