2023 4-H Camp Teen Counselor Application

We believe you would be a great Teen Camp Counselor for the 2023 James City County, King William and King & Queen County, New Kent, and Charles City Junior 4-H Camp. We want the most enthusiastic and responsible teens to be teen counselors for our 4-H camp week. In order to be considered for selection you must:  

You must have three references (not family members). If your references would like to fill out the form online, please supply the 4-H office with their e-mail address and we will send them a URL. If your references would like to use a hard copy- you should provide your references with the form, as well as an addressed and stamped envelope. Reference forms are due by January 1.  All applicants (including returning counselors) must have three reference forms.

All Camp Counselors will be required to attend an interview, this year this may be in-person, Zoom, Google Meets or phone. You will be contacted about your interview after we receive your application.

Teen Camp Counselor Position Description Summary (to see a complete teen counselor job description go to:  https://docs.google.com/document/d/1FRvMV-xlslYxS5L_4J8_SiVEyzx0LP4tUncEl9tlazA/edit?usp=sharing

A position as Teen Camp Counselor is a great opportunity to develop your leadership skills by assisting with planning and conducting a 5-day, 4-night 4-H Camp for boys and girls ages 9-13. Teen Counselors are role models who help supervise campers and provide for their safety and well-being. Counselors will supervise campers during activities, assemblies, in cabins or lodges, and in classes. Teen counselors work with adult volunteers and Virginia Cooperative Extension staff and are under the direction of the Extension 4-H Agent.

Requirements
15 years or older by June 1, 2023

Attend at least 24 hours of training. Trainings dates and times to be determined later. The expectation is that you will make every effort to attend all trainings.

Must be: mature, responsible, dependable, respectful, work well with others, have a positive attitude, and be a good role model.

Camp Counselor Fee to be determined. Payable before camp. 

If you have any questions, please contact us at: 
James City County: (757) 564-2179 or nealcynw@vt.edu   
King William / King and Queen: (804) 769-4955 or crmurray@vt.edu
New Kent  / Charles City: (804) 966-9645 or marci4@vt.edu 
*Communications about the Camp Counselor program will be sent via email and text to all teen and parent cell phone numbers and emails provided.
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Email *
Teen Counselor Name *
First and last name
Teen Email *
Parent Email *
Teen Phone number *
Parent Phone number *
Street Address *
Town / City  *
Zip code *
Date of Birth (including year) *
MM
/
DD
/
YYYY
Gender *
County 
Clear selection
Grade *
t-shirt size *
Are you or have you ever been a 4-H Club Member *
Have you ever attended 4-H Camp *
List any school and/or community activities (clubs, sports, church, etc.)
List any leadership experiences or positions you have held, not including 4-H camp.
List any volunteer (including community service) and/or paid work experience, include organization/employer and phone number
List any experiences you have had working with children (not including 4-H camp) such as babysitting, helping with younger siblings, church nursery helper, etc.
Reference #1 Name: 
Reference #1 Email:
Reference #2 Name: 
Reference #2 Email:
Reference #3 Name: 
Reference #3 Email:
Expectation of 4-H Teen Counselor
Applicant and parent/guardian read and sign below (Required for Processing!!!)

If selected, I am able to attend 4-H Camp on July 24-28, 2023. I also commit to attending at least 24 hours of training. Trainings will be held regularly between April and July at dates and times to be determined later. I will make every effort to attend all trainings, or to attend make-up training dates if necessary. I realize I must attend at least two of the mandatory trainings and the additional hours of training are mandatory, and if I am unable to attend my teen counselor position could be revoked or arrange special permission from the 4-H office.
I understand that turning in this application does not guarantee me a spot as a Camp Counselor. Applications and references will be reviewed, interviews will be held, and selections will be based on all three factors. I understand that, if selected, I will need to pay a Camp Counselor fee to be determined before camp and not to exceed $200. Scholarships are available for teens with financial need. Please contact our office for scholarship information.

Teen, 
Read the statement above, if you understand and will do your best to meet all of the requirements, please fill in your name and date this serves as your signature.  
 *
Parent/Guardian, 
Read the statement above, and fill in your name and date this serves as your signature.
*
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