4-H SUMMER CAMP
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2021 4-H Summer Camp Youth Staff Application
(Youth positions are volunteered/non-paid positions earning Leadership Credit)
(Youth staff must be 14 years old as of June 1, 2021)
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Cell Phone Number
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Youth Email
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Parents Email
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What 4-H Club (if any) are you affiliated with?
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(All) Years attended 4-H Summer Camp
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Birthdate (Month/Day/Year)
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What is your age as of December 31, 2020?
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What is your staff age as of June 1, 2021?
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Staff T-Shirt (adult size)? Select One
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Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
5X-Large
Youth staff positions applying for (check your top 4 interested positions) The interview committee has the right to make adjustments on assigning a specific job to an individual on a case by case basis. Head Youth Director Interview on 9/25/20; Youth Director/King/Queen interviews on 12/4/20 and Regular Staff Interviews in 3/27/20
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2021 Head Youth Director
2021 Youth Director
Assistant Staff Coordinator
King
Queen
Host
Hostess
Office
Trading Post Operator
Handicrafts
Aquatic's Assistant
Nurse's Assistant
Nature Assistant
IT/Media Coordinator
Athletics
P.A. Operator
Song Leader
Cabin Counselor
Please write in your top 4 interested positions as 1 being your first choice and 4 being your last choice. Seperate each by a comma.
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I will remind my adult recommendator to fill-out my staff recommendation form online.
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Yes
No
Who will fill out yout staff recommendation form? (Adult recommendator)
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List up to six (6) leadership roles in 4-H from the last year program year?
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List up to six (6) leadership roles outside of 4-H within the last year?
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List any trainings, skills, certifications, licenses, etc. that you have aquired, (i.e.: CPR, First Aid, Water Safety, Lifeguard Training, Boating Certification, Fishing Experience, etc.
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You must attend the following staff training events during the next program year (2020-2021) as a prerequisite to be a member of the 4-H Camp 2020 Leadership Team. I hereby acknowledge that by not attending all of the training sessions listed below may result in being re-assigned to another staff position as deemed appropriate by the Head Adult Director and Head Youth Director or removal from staff.
I
MPORTANT DATES & DEADLINES
2021 4-H SUMMER CAMP TIMELINE & DEADLINES
See
www.4Hsummercamp.com
for all forms and details
Sunday, June 27, 2020
– Camp Staff Party at the Jack Kramer Club in Rolling Hills Estates – 3:00 – 8:00 PM
Sunday, July 19, 2020
– Camp Committee Meeting at Mary Lash’s home – 3:00 PM
Selection of 2021 Head Adult Director
Friday, September 25, 2020
– Deadline to Apply for Head Youth Director and Adult Directors
Sunday, September 27, 2020
– Camp Committee Meeting at Mary Lash’s home – 3:00 PM; Interview and selection of Head Youth Director and 4 Adult Directors. Adult Directors are only interviewed if this is their first time applying
Friday, December 4, 2020
– Deadline to Apply for Youth Directors, Kings and Queens (Executive Team)
Sunday, December 6, 2020
– Interviews & Selection for Youth Directors, Kings and Queens – 1:00 – 3:00PM at Mary Lash’s Home or via teleconference.
Sunday, December 6, 2020
- Camp Committee Meeting at Mary Lash’s home – 3:00 PM
Saturday, January 2, 2021
– Staff Training Day for Directors, Kings & Queens at Mary Lash’s home – 10:00 AM – 3:00PM
Sunday, March 7, 2021
– Camp Committee Meeting at Mary Lash’s home – 3:00 PM
Friday, March 26, 2021
– Deadline to Apply for Camp Staff (Must be age 14 or older by 1/1/2021)
Saturday, March 27, 2021
– Staff Interviews – Location: At County Field Day and Fashion Review
April 17-18, 2021
– Staff Training Weekend – Location: TBA
Sunday, May 2, 2021
– Camp Committee Meeting at Mary Lash’s home – 3:00 PM
Friday, May 21, 2021
– Deadline to Apply for Robert P. Amman Memorial Campership ($150 max)
Sunday, June 7, 2021
– Final Camp Committee Meeting at Mary Lash’s home – 3:00 PM
Summer Camp (TENTATIVE DATE) - Sunday, June 20th – Saturday, June 26th, 2021
– 4-H Summer Camp – at Camp Seely –
This is a tentative date and subject to change – Confirmed date will be announced in November, 2020
Sunday, July 3, 2021
– Camp Staff Party at the Jack Kramer Club in Rolling Hills Estates – 3:00 – 8:00 PM
Friday, July 16, 2021
– 2022 Head Adult Director Applications Due to 4-H Summer Camp Committee Chair
Sunday, July 18, 2021
– Camp Evaluation and Camp Committee Meeting at Mary Lash’s home – 3:00 PM Selection of 2022 Head Adult Director
I hereby acknowledge that by not attending all of the training sessions listed above could result in me being re-assigned by the Head Adult Director/Head Youth Director or removal from the 2020 Camp Leadership Team if deemed appropriate. (Please type your First & Last Name in the field box below)
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Today's Date (Month/Day/Year)
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Submit my Youth Staff Application
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