2026 Summer Camp Counselor Application
4-H Summer Camp - July 29-31, 2026
Upham Woods Outdoor Learning Center, Wisconsin Dells

Camp Counselor Eligibility:  
-4-H member in 9th grade through one year after high school
-Crawford, La Crosse, Monroe, Richland and Vernon Counties

Important and Required Dates:
-Camp Counselor Applications Due - May 1, 2026
-Counselor Training & Camp Planning Session - June 9, 2026
-Pre-Camp Zoom for Campers, Counselors and Chaperones - July 1, 2026



Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
County *
Address (Street Address, City and Zip) *
Counselor's Cell Phone (If you do not have a cell phone, use parent's phone number) *
Current Grade *
Birthday *
MM
/
DD
/
YYYY
Parent(s) or Guardian(s) Name(s) *
Parent(s) or Guardian(s) Phone Number
T-Shirt Size (Adult Sizes) *
Suggested Camp Themes (Examples: 2023-Under the Sea; 2024-Olympics; 2025-4-H Undercover) *
Why do you want to be a camp counselor? What do you hope to learn from the experience? *
What level of swimming have you received, if any? *
What level of first aid instruction have you had, if any? *
I prefer to work with the following age group(s): *
Required
Describe leadership experiences that you have had, especially those involving younger youth: *
Have you ever attended camp as a camper? If yes, indicate year and the name of the camp.
If you have been a camp counselor, please list the year, name of the camp, and duties you were responsible for.
The 4-H camp staff works as a team at camp. Describe the skill you will bring to the team. *
Which of the following are you comfortable leading at camp? Check all that apply. *
Required
Letter of Recommendation
New camp counselors must include one letter of recommendation. It should describe your ability to work with a team, younger youth, etc. A letter of recommendation is not required for returning counselors. These are due to the Extension Office.

 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UW-Madison Google Workspace.

Does this form look suspicious? Report