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2023 Placer County 4-H Summer Camp Staff Application

Staff Camp Dates: Sunday, July 23 - Sunday, July 30, 2023

WE ARE LOOKING FOR 4-H SUMMER CAMP YOUTH STAFF WHO-

Are currently enrolled or willing to enroll in the 4-H program.
Have the willingness to discover, learn, and grow throughout their experiences with the Placer County 4-H Summer Camp Program.
Are willing to embody activities and behaviors that are associated with positive role models for campers.
Take experiences as learning opportunities and teachable moments.
Have the willingness to listen, learn, and be considerate of others.
Willing to be a part of a community built upon trust, caring attitudes, and enthusiasm.
Are able to work in a youth-adult partnership.
Are patient and kind.
Will continually respect the institutions, patrons, people, and mission of the camp.
Will contribute to the positive culture of the camp.
Want to have AWESOME FUN this summer!
Do not just work at camp…we want staff to LOVE to work at camp!!

*= Required

Please complete the survey application and upload a 1-page Resume, NO LATER THAN Friday, January 13 2023 by 8:00 am. Once you have completed both items, you will receive a notification that your application has been "received". If you do not receive a response from the office, please wait one business day and then call: 530-889-7386 to confirm it was received.

✻ = Required

Job Descriptions

Junior Counselor (JC)

JC's work more closely with campers. They are responsible for leading activities and games for up to 16 campers; with the help of an Adult Counselor. Junior Counselors are responsible for monitoring youth on sleeping deck along with an Adult Counselor.

Junior Director

Junior Directors must be at least 17 years old. Junior directors are responsible for leading the team of youth counselors, planning and conducting the training retreat, and serve as support for their junior counselors. They provide a second line of discipline for campers. Two are selected for the camp year.

First Name ✻

Last Name ✻

Youth Cell Phone ✻

Youth Email ✻

Parent Cell ✻

Parent Email ✻

Birth Date ✻

School ✻

Grade ✻

Gender ✻

Male Female

Are you in the 4-H Club Program for the current year? ✻

Yes No

What Youth Staff Position are you applying for (applicant can choose multiple positions) ✻

Junior Counselor *must be the minimum age of 15 by 12/31/2022 Junior Director *must be the minimum age of 17 by 12/31/2022

Please share any school clubs or programs you are involved in: ✻

Job Experience: (If no job experience, state "N/A")

Employer's Name:

Employer Phone Number:

May we contact this employer?

Yes No

Employer Name #2:

Employer #2 Phone Number:

May we contact this employer?

Yes No

Do you have any previous 4-H camp experience:

Camp Name/ Year attended? ✻

What was your role at camp? ✻

Camper Staff No 4-H camp experience

Camp Name/ Year attended?

What was your role at camp?

CAMPER STAFF

Additional Camp experience you would like to share:

Please share any experience you have working with and providing leadership for youth between the ages 9-13.(i.e., babysitting, teen/youth project leader, tutoring) Please explain: ✻

Describe a positive 4-H experience that impacted your life: ✻

If chosen to be a junior counselor, how will you promote camp and encourage 4-H members to attend? ✻

Please indicate that you are able to participate in the required interview January 27, 2023 by selecting YES. Your interview time will be emailed to you by 5PM on January 16, 2023. ✻

Yes No

Please list activities that you will be involved in this spring and summer that might conflict with your total involvement in camp and camp planning meetings. ✻

Yes No

If you are asked to plan, organize, and teach a class at 4-H camp, what would you be willing to teach and briefly explain what you would do? ✻

Yes No

Please indicate that you will able to attend camp for the entire duration of camp, from Sunday, July 23, 2023 through July 30, 2023, and will conduct yourself in a manner befitting a 4-H Summer Camp Staff Member. If selected, you will have the responsibility of helping others, as well as yourself and to follow the rules we create, that are in compliance with the California 4-H Code of Conduct. I understand the penalties for infraction of these rules. Indicate by selecting YES ✻

Yes No

What skills do you possess as a result of past experiences or training that would help you in this position? (i.e. CPR ceritficate, first aid certificate, craft courses, musical talent, sports, school classes) ✻

The following information is optional. It is confidential. It is requested to help us document that UC Cooperative Extension is extending services and benefits to everyone who is interested and does not discriminate.

What is your gender?

Female Male Gender identity not listed

Are you Hispanic or Latino?

No, I am not Hispanic or Latino Yes, I am Hispanic or Latino

What is your race?

American Indian or Alaska Native Asian Black or African American (not of Hispanic origin) Native Hawaiian or other Pacific Islander White Race not listed

It is the policy of the University of California (UC) and the UC Division of Agriculture & Natural Resources not to engage in discrimination against or harassment of any person in any of its programs or activities (Complete nondiscrimination policy statement can be found at http://ucanr.edu/sites/anrstaff/files/215244.pdf). Inquiries regarding ANR’s nondiscrimination policies may be directed to UCANR, Affirmative Action Compliance & Title IX Officer, University of California, Agriculture and Natural Resources,

The application will be considered incomplete without a resume. Please upload resume below.

Upload your file