2014 Discovery Days Floor Counselor Application
The Discovery Days Floor Counselors will help delegates have a positive, safe residence hall experience.  Discovery Days will be held June 3-6, 2014 with the expectation that Counselors will attend for 5 days and 4 nights beginning on June 2 for training and staying until the morning of June 6.
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Full Name *
Address *
City *
State *
E-mail Address *
Cell Phone Number *
Date of Birth *
Your Current Age *
What is your Gender? *
Have you served as a Floor Counselor in the past? *
Are you a past 4-H'er? *
If Yes, what Local Extension Unit were you a member of?
Have you attended Discovery Days in the past? *
If Yes, what years?
Why do you want to be a Floor Counselor at the 2014 4-H Discovery Days? *
What experience do you have in supervising young people? *
References
In the following section we will ask for the names and contact information for two people that we can contact about your past work experiences.
Name of Reference #1 *
Title of Reference #1 *
Phone Number of Reference #1 *
How long and in what respect have you known Reference #1? *
Name of Reference #2 *
Title of Reference #2 *
Phone Number of Reference #2 *
How long and in what respect have you known Reference #2? *
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