2020 Georgia 4-H Summer Camp Counselor Application -- Form A
This form is for applicants without previous experience as counselors in the Georgia 4-H Summer Camping Program. All applicants are required to attend Counselor Selection Weekend at Rock Eagle 4-H Center, Saturday-Sunday, January 11-12, 2020. Please contact Charlie Wurst (cwurst@uga.edu) if you anticipate difficulty in attending Counselor Selection Weekend.

THIS APPLICATION MUST BE SUBMITTED BY FRIDAY, NOVEMBER 1, 2019.

Instructions: Please provide as complete and accurate answers as possible to the questions on this application. When you have completed the application, click the "Submit" button at the end of the form.

Questions that require an answer are marked by an asterisk (*). If you have difficulty submitting the form, please be sure you have answered all questions requiring an answer.

In 2020, the Georgia 4-H Camping Program will operate at Georgia's five 4-H facilities -- Burton 4-H Center on Tybee Island, Camp Jekyll, Fortson 4-H Center, Rock Eagle 4-H Center, and Wahsega 4-H Center.

BEGINNING THIS YEAR, TO COMPLY WITH UGA STUDENT WORKER GUIDELINES ALL COUNSELORS ARE REQUIRED TO BE ENROLLED AS A STUDENT IN BOTH THE SEMESTER BEFORE AND AFTER THE SUMMER THEY SERVE AS A COUNSELOR. THE STUDENT WORKER ENROLLMENT REQUIREMENT IS SATISFIED BY ENROLLMENT IN HIGH SCHOOL OR AT LEAST HALF TIME ENROLLMENT AT ANY INSTITUTE OF HIGHER EDUCATION (IN STATE, OUT-OF-STATE, TECHNICAL COLLEGE OR SCHOOL, PRIVATE SCHOOL, USG INSTITUTION, UNDERGRADUATE OR GRADUATE SCHOOL).

DO NOT COMPLETE THIS APPLICATION IF YOU DO NOT INTEND TO BE ENROLLED AS A STUDENT DURING THE 2020 SPRING AND FALL SEMESTERS AS DESCRIBED ABOVE. PROOF OF ENROLLMENT MAY BE REQUIRED BEFORE YOU ARE HIRED AS A COUNSELOR.

If selected as a counselor, those applicants assigned to a waterfront position, including all small camp counselors, will be required to possess or obtain American Red Cross lifeguard certification before the camping season begins. A swim test on Friday, January 10, or Sunday, January 12, 2020, is available to all applicants, and bonus points in the counselor selection process will be awarded based on their performance on this swim test.

Counselor training is very important to the success of the camping season. You will be expected to participate in two counselor training weekends if selected to be a counselor. Those weekends include:

February 21-23, 2020 All Counselor Training Rock Eagle 4-H Center

And one of the following weekends, depending on your Center assignment:

March 13-15, 2020 Burton Training Burton 4-H Center on Tybee Island
March 13-15, 2020 Jekyll Training Camp Jekyll
March 20-22, 2020 Rock Eagle Training Rock Eagle 4-H Center
March 27-29, 2020 Fortson Training Fortson 4-H Center
March 27-29, 2020 Wahsega Training Wahsega 4-H Center

Please consider these training dates when applying for counselor employment. YOU SHOULD NOT APPLY TO BE A COUNSELOR IF YOU EXPECT TO MISS BOTH OF THE SPRING TRAINING WEEKENDS.
First Name *
Your answer
Last Name *
Your answer
Phone *
Please enter in the format "xxx-xxx-xxxx"
Your answer
E-mail Address *
Your answer
Gender *
For housing purposes
County *
Your answer
District *
Extension Agent/Educator/Program Assistant Name *
Your answer
Extension Agent/Educator/Program Assistant E-Mail Address *
Your answer
Student Worker Employment Requirement *
TO COMPLY WITH UGA STUDENT WORKER GUIDELINES, ALL COUNSELOR APPLICANTS ARE REQUIRED TO BE ENROLLED AS A STUDENT IN BOTH THE SEMESTER BEFORE AND AFTER THE SUMMER THEY SERVE AS A COUNSELOR.
Required
High School Graduation Status *
You must be a high school graduate as of Sunday, May 24, 2020, to submit this application.
Required
Last Day of Classes *
Please list the last day of your high school or college spring term classes in the format "mm/dd/yyyy"
Your answer
Academic Standing *
Give your GPA, numeric average grades, class ranking, or some other measure of your academic standing from your most recently completed academic term
Your answer
Placement Preference *
Please rank, with 1 as your first choice and 5 as your last choice, where you wish to be employed as a 4-H camp counselor
1
2
3
4
5
Burton on Tybee
Fortson
Jekyll
Rock Eagle
Wahsega
American Red Cross Lifeguard Certification Status *
Waterfront counselors, including all small camp counselors, are expected to possess or acquire Red Cross certification. Check one box to indicate your status.
4-H Experience
Number of years as an actively enrolled 4-H member *
Your answer
List major 4-H projects and activities of the last three years *
Your answer
List 4-H offices held *
Include the year offices held
Your answer
List specific experience working with or providing leadership to younger 4-H'ers *
Include dates of experience; do not include activities listed above in "major 4-H projects and activities of the last three years"
Your answer
Other Leadership Experience
List leadership positions held in your school, community or organizations other than 4-H *
Include year
Your answer
List specific experience working with or providing leadership to younger people outside of 4-H
Include year
Your answer
Personal Statements
Why are you seeking a position as a 4-H summer camp counselor? *
Your answer
Assess your ability to meet the physical demands of the job *
Counselors work in very demanding environments over a very long day, with exposure to extreme heat for about six hours per day. Good physical condition is necessary to maintain a rigorous schedule.
Your answer
Assess your ability to establish and maintain good personal and working relationships with your peers *
4-H camp is the first time many counselors have lived away from home and with others. It may also be the first time many have had to work in a large organization.
Your answer
Camping Experience and Skills
List camps attended, including 4-H camping experience *
Provide the year, name of camp, type of camp, length of stay, and role (e.g. camper, leader, intern) for each camping experience
Your answer
Instructional Preference *
Rate your degree of knowledge, ablility to teach others, and experience in these particular activity areas
None
Some
Much
Archery
Canoeing
Conservation
Ecology (lake, marsh, beach, forest)
Entomology
Foods and Nutrition
Forestry
Health and Fitness
Herpetology
Native American Culture
Recreational Games
Sailing
Swimming
Wildlife
Please give specific examples to support any rating of "Much" in the question above *
Your answer
Skills Inventory *
Check the degree of your skills, knowledge or interest in each of the activities listed
None
Some
Much
Arts and Crafts (e.g. wood, metal, leather, painting)
Dancing (e.g. formal training, folk, line, popular)
Performing Arts (e.g. musical instruments, singing, drama)
Reflections (presenting, writing or staging vespers and inspirational pieces)
Sports (e.g. softball, volleyball, soccer, ultimate Frisbee, gymnastics)
Please give specific examples to support any rating of "Much" in the question above *
Your answer
References
Please provide three references. Teachers, principals, guidance counselors, former employers, etc. are some examples of references. PLEASE DO NOT LIST RELATIVES OR YOUR COUNTY EXTENSION AGENT/EDUCATOR/PROGRAM ASSISTANT AS REFERENCES. You may list other Cooperative Extension personnel outside of your county. Please complete the reference section completely and accurately to avoid delay in processing your application.
Reference #1 Name *
Your answer
Reference #1 EMAIL Address *
Your answer
Reference #1 Phone Number *
Your answer
Reference #2 Name *
Your answer
Reference #2 EMAIL Address *
Your answer
Reference #2 Phone Number *
Your answer
Reference #3 Name *
Your answer
Reference #3 EMAIL Address *
Your answer
Reference #3 Phone Number *
Your answer
Certification
Certification Statements *
Required
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