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Neringa Heritage Camp Counselor and CIT Form 2018
APPLICATIONS ARE ACCEPTED UNTIL APRIL 22, 2018

EMPLOYMENT DECISIONS WILL BE ISSUED MAY 12, 2018

SEND COMPLETED FORMS TO REGINA KULBIS – REGINA@NERINGA.ORG

PLEASE CC: ERICK – ERICNARK@HOTMAIL.COM &

GAILA – LIETUVIUKALBA@HOTMAIL.COM

Email address *
Name (last, first) *
Your answer
Address (street, city, state, country, zip) *
Your answer
Email Address *
Your answer
Phone number 1 *
Your answer
Phone numer 2
Your answer
How old will you be in August, 2018? *
Your answer
Can you legally work in the USA? *
Have you ever been convicted of a crime? If Yes, please elaborate *
Your answer
Profession or level of education & field of study: *
Your answer
Work/Volunteer/Leadership experience: *
Your answer
Previous camp counselor experience or other experience working with children: *
Your answer
Check which certifications you will have at camp
Are you willing to obtain current Lifeguard/WSI certification *
Level of Lithuanian language fluency *
Please list your first 3 choices for a cabin. *
Your answer
Do you have any special needs/requests?
Your answer
Areas of expertise, talents, hobbies, areas of interest *
Your answer
What types of programs could you plan and lead in the following areas? Please indicate at least 1 option. *
Required
What types of programs could you plan and lead in the following areas? Please indicate at least 1 option. *
Required
What theme day or evening program would you like to be involved with planning? Please indicate at least 2. *
Required
What theme day or evening program would you like to be involved with planning? Please indicate at least 2. *
Required
What ideas do you have for new evening programs or themes? (give details) *
Your answer
What ideas do you have for new daily classes? (give details) *
Your answer
One 40-minute period of the camp day is allocated for camper electives. The campers then participate in this elective activity for 5 days. (Past electives have included juggling, chess, kite making, painting, among others.) What elective could you lead? How many campers could you accept for this activity? *
Your answer
Some years campers participate in a “legacy project”. (A larger scale project is undertaken on site to provide future campers with opportunities for new activities. In the past, campers have improved the trails around Neringa, built an outdoor chess/checker board, designed and built “mushroom” stools for sitting, painted murals on the story house walls.) What legacy project would you like to see undertaken? *
Your answer
What is your favorite part of a camp day? *
Your answer
When would you be able to serve as a counselor during English-speaking camp (dates on website)? *
Required
Would you like to volunteer? Neringa was founded on the basis on volunteerism. We would like to refocus on volunteers to help Neringa and its mission. *
If you have never served as a counselor or camped at Neringa please list 3 references that could speak of your leadership skills. (Include their full name telephone number, and email address.) Please attach a copy of your resume, if possible. Please indicate: Name Address City State Zip Tel. Mobile Email *
Your answer
Additional comments:
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If accepted as a counselor you will be required to complete the new child safety program, Safe and Sacred. This will be an annual requirement in order to be able to be a counselor or volunteer for 18 years or older. When accepted as a counselor we will send you complete instructions for the training. The training is about 1.5-2 hours long. This training is required by all counselors/volunteers/staff and must be completed by June 1, 2018. If not completed we cannot accept you as a counselor/volunteer/staff. Also when you are logged in a background check will be required. Because of this new program everybody needs to do a new background check which will be good for 5 years.
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Today's date *
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