SERVICE CORPS  APPLICATION - 2025
FLAT  ROCK  RIVER  YMCA  CAMP
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Contact Phone Number *
Have you previously participated in programs at Flat Rock as a Camper? *
If you answered 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 selected for ONE two-week period over the course of the summer.
1 Choice
2nd Choice
Session 1-2 (June 1-13)
Session 3-4 (June 15-27)
Session 5-6 (June 29-July 11)
Session 7-8 (July 13-25)
Clear selection
What motivates you to want to participate in a two week Service Corps experience at Flat Rock? *
What are you most excited about? What are you most nervous about when you think about summer 2025?
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. *
Flat Rock is a place where all kids are INCLUDED and ENGAGED,  becoming CONFIENT and INSPIRED.  In thinking about being a leader/role 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 (potentially walking up to 15,000+ steps per day) 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 in 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? *
If you answered "yes" to previous question,  please explain.
Have you ever been convicted for inappropriate behavior/actions involving children (child abuse/sex related crimes) or any felony? *
If you answered "yes" to previous question, please explain
Reference ONE:  Name, Email Address and Phone # (Must be an immediate family member.)
Reference TWO:  Name, Email Address and Phone #
Reference THREE:  Name, Email Address and Phone #
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy