Rutherford County 4-H Junior Camp Adult Leader Application
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First and Last Name *
Gender *
Please confirm you are at least 19 years of age or older by the time we attend camp on June 8th-12th, 2026. *
Have you been an adult volunteer at another 4-H camp or event before? If yes, what camp/event? *
What other relevant experiences working with youth or volunteering with youth do you have? These examples could be from 4-H or from outside 4-H (example: church, scouts, school, etc) *
Do you have any skills or talents that might be useful in helping us run camp?  (Examples: First Aid training, volunteering with specific 4-H programs like shooting sports, etc.)  *

By choosing YES, you agree that the 4-H agent in the county you live in or represent is aware that you are applying for this camp opportunity. *
What is your home address? *
What is your email?  *
What is your phone number? *
If chosen to interview, are you able to have a Zoom interview with the 4-H staff? *
If selected to serve as a Junior Camp Adult Leader, you will be required to attend a training program on May 21st at 6pm at our office. Will you be able to attend? *
Please list 2 references (no relatives),  that we can call. We will need name, phone number, and an email.  *
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