SERVICE CORPS APPLICATION

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SERVICE CORPS APPLICATION - 2022

FLAT ROCK RIVER YMCA CAMP

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E-post *

First Name *

Last Name *

Contact Phone Number *

Have you previously participated in programs at Flat Rock as a Camper. *

YES

If YES to previous question, which programs and what years.

If selected to participate as a Flat Rock Service Corps participant, which session windows would you be available for. Please indicate 1st, 2nd, 3rd, 4th choice. If you are only available for certain dates select ONLY those options. Participants will be slected for ONE two week period over the course of the summer.

1 CHOICE

2nd Choice

3rd Choice

4th Choice

Session 1-2 (June 5-17)

Session 3-4 (June 19-July1)

Session 5-6 (July 3-15)

Session 7-8 (July 17-29)

Rensa markering

What motivates you to want to participate in a two week Servie Corps experience at Flat Rock? *

What are you most excited about? What are you most nervous about when you think about summer 2022?

3. What is one thing you are looking forward to learning this summer?

Name three of your heroes and tell us why. *

Please tell us about the last time you led a group. Let us know what type of group, the positives, the growth opportunities, and when this occurred. *

In 2021 we introduced a new mantra - Flat Rock is a place where all children are INCLUDED and ENGAGED becoming CONFIENT and INSPIRED. In thinking about being a leader/roll model for children, what does that statement mean to you when you think about the responsibilities of LIT's, CIT's, Service Corps, Staff and Volunteers? *

Give an example of how your present habits, values, and lifestyle agree with the camp's position on providing positive role models for children. *

It's a new day! What gets you out of bed in the morning? *

Describe an experience when you took initiative. *

Realizing that the role of a Servce Corps participant often involves extensive activity indoors and outdoors on rough terrain and or hot humid climates, is there anything that would prevent you from fully participating? *

A sussessful camp expereince for our campers invloves attention to details in every aspect of the operation: Maintenance, Groundskeeping, Housekeeping, Food Service, Office Support, Health Care, Program Support, Camp Counselors. Can you give an example (from your perspective) of how you think each of these departments supports a camper's experience? *

Camper INCLUSION AND ENGAGEMENT set up the opportunity for success n the next two steps of our mantra. Describe how you could help a child feel included and engaged if you were assigned to help at an activity area in the "waiting section." e.g. the campers are waiting on the bench at archery vs being the one shooting the arrows. *

What questions do you have about the Service Corps Program?

Have you ever been convicted of a crime(s), including minor traffic offenses? *

YES

If yes to previous question please also explain.

Have you ever been convicted for inappropriate behavior/actions involving children (child abuse/sex related crimes) or any felony? *

YES

If yes to previous question please also explain

Reference ONE: Name, Email Address and Phone #

Reference TWO: Name, Email Address and Phone #

Reference THREE: Name, Email Address and Phone #

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