Counselor Certification Program

Transcription

1 Counselor Certification Program 4-H Adventure Camp Counselors have a unique opportunity to meet and work with teens, adults, and youth while having a fun outdoor experience and developing leadership skills.

2 Camp Counselor Requirements and Responsibilities Steps to Completing the Camp Counselor Certification Program: Complete the Steps to Comple ng the Camp Counselor Cer fica on Program Return the completed applica on and counselor fee by the due date Monday, January 26 Follow all University of Idaho and 4-H Adventure Camp Policies Be prepared and on me for all mee ngs and ac vi es A end all mee ngs Live in a cabin with a group of campers Be a posi ve role model to others Be able to meet the campers needs with the help of adults and other counselors Schedule counselor interview by calling Please call a er 3:30 pm or weekends. (It is your responsibility to schedule an interview before Feb- ruary 2, 2015) Enroll in 4-H and the Step Up to Leadership project Complete the Camp Counselor Focus Area Checklist A end all planning and training mee ngs A end camp and be an ac ve par cipant Agree to perform the du es on the Requirement List Help campers understand and follow camp Be familiar with emergency procedures policies Enter your project in your county fair Promote camp to 4-H clubs and other organiza ons Ac vely par cipate in leading a workshop, class, or campfire First Year Counselors: CIT (Counselor in Training) Encourage camper par cipa on in camp programs Age: Completed 9th grade by camp dates or first year in program. Par cipate in camp evalua on Provide three character references Help camp director and teen directors with various tasks and any changes in program- Interview with Camp Director and Teen Directors. ming Be familiar with emergency procedures Counselors: Age: Completed 10th grade or higher by camp dates or two or more years in program. Instruct a workshop during a planning mee ng/ training Lead a team of counselors in a campfire, workshop, or ac vity Interview with the Camp Director and Teen Directors.

3 Deadlines: 2015 Camp Dates and Deadlines ALL COUNSELORS applica ons are due Monday, January 26 Interviews for ALL COUNSELORS: Interviews must be scheduled by February 2. Call a er 3:30 pm or weekends. Trainings: Basics: Saturday, February 21, 9:00 to Noon, Ada County Extension Office 5880 Glenwood, Boise All first year counselors must a end CIT Basics. Training Mee ng/planning Mee ng: Saturday, March 7 9:00 am to 3:00 pm Canyon County Complex, 1904 E Chicago, Caldwell Training Mee ng/planning Mee ng: Saturday, April 4 9:00 am to 3:00 pm Ada County Extension Office, 5880 Glenwood, Boise Training Mee ng/planning Mee ng: Saturday, April 25 9:00 am to 3:00 pm Canyon County Complex, 1904 E Chicago, Caldwell Training Mee ng/planning Mee ng: Saturday, May 9 9:00 am to 3:00 pm Ada County Extension Office 5880 Glenwood, Boise Camps: Counselor Retreat: Monday, June 15 to Wednesday June 17 June Kids Camp: Friday, June 26 to Monday, June 29 Teen Camp: Monday, July 6 to Friday, July 10 August Kids Camp: Friday, July 31 to Monday, August 3 Important Attendance Information: All counselors are expected to a end all trainings/planning mee ngs IN THEIR ENTIRITY. If you know you can t a end a mee ng or have to come late or leave early, you must call the camp director at by 5:00 pm the day before the mee ng. One excused absence or tardy/early leave will not count against a counselor for camp preference. Unexcused absences, tardiest, or early leaves for trainings or Counselor Retreat will be counted as an absence and may affect counselor s choice of camps or ability to a end camp at all. If you do not a end Camp Counselor Retreat it is at the discre on of the Camp Director if you can a end camp.

4 4-H Camp Counselor Application Name: Birthdate: Phone: Address: City: State: Zip: County: Years in 4-H: Years as Counselor: Grade: Name of School: Parent Consent: I herby give my permission for to a end Counselor Training ac vi es at the me and place indicated and release the University of Idaho Coopera ve Extension employees, sponsors, and volunteers from any liability connected with a endance. Date: Parent/Guardian signature: Participant Agreement: I understand that any of my behavior that jeopardizes the health, safety, or social well-being of any/everyone a ending all func- ons of the H Adventure Camp will result in my being dismissed from the ac vity, forfeiture of fees, and prompt return home at my expense. I also understand and agree to fulfill all requirements on the Steps to Comple ng the Camp Counselor Pro- gram and Requirements and Responsibili es Date: Par cipant signature: First me applicants only: List three persons other than rela ves who can speak for your qualifica ons for this counseling posi on. Give complete address and phone numbers. These references will be contacted. Name: Phone: Relation: Address: City: State: Zip: Name: Phone: Relation: Address: City: State: Zip: Name: Phone: Relation: Address: City: State: Zip: Application Deadline: All Counselors Friday, January 26 Please return your applica on to: Ada County Extension 5880 Glenwood Boise, ID Camp Counselor Fee: $100 payable to District II 4-H Camp due with applica on * this fee does not include 4-H enrollment fees, which vary by county. Sweatshirts: are op onal at an addi onal cost of approximately $25 Step Up to Leadership book is included for first year counselors only. In compliance with the Americans with Disabili es Act of 1990, those reques ng reasonable accommoda ons need to contact Kelton Jensen at least one week prior to the event at , 5880 Glenwood, Boise, ID 83714

5 4-H Adventure Camp Health Form CAMPER MAY NOT REGISTER WITHOUT HEALTH FORM Counselor Adult Staff Teen Camp June Kids Camp August Kids Camp Name: Birthdate: Sex: Parent or Guardian: Camper Social Security #: Home Phone: Work Phone: Cell Phone: Address: City: Zip: If not available in emergency, notify: Address: Phone: HEALTH HISTORY: Please give approximate dates camper has had or received the following: Convulsions Hypertension Ear Infections Diabetes Bleeding/Clotting Disorders Ivy Poisoning Asthma Heart Defect/Disease Insect Stings Seizures Surgery Injury Chicken Pox: DPT immunization MMR immunization Allergies (Please list any allergies to bee stings, food, medications, etc): Operations or serious injury (dates) Chronic or re-occurring illness and treatment which may be needed while at camp: Dietary modification/preferences (including vegetarian): Current medications: Any specific activities to be restricted: Please list any special considerations you feel we need to be aware of (such as bed wetting, car sickness, sleepwalking) This information is confidential: Name of Family Physician: Phone: IMPORTANT: PLEASE NOTIFY THE CAMP OF ANY EXPOSURE TO INFECTIOUS DISEASE IN THE TWO WEEKS PRIOR TO CAMP. PARENT AUTHORIZATION: To my knowledge this health history is correct so far as I know, and the person herein described has permission to engage in call Camp activities except as noted. I hereby give permission to the physician by the 4-H Camp to order x-rays, routine tests, and treatment for the health of my child, and in the event I cannot be reached in an emergency, permission to secure proper treatment for, hospitalization, order injection, and/or anesthesia and/or surgery for my child as named above. Signature of Parent or Guardian: Date: CAMPER AGREEMENT: I also understand and agree to abide by the restrictions placed on my activities and agree to assist 4-H Camp staff in my health care. Signature of minor camper: To enrich education through diversity the University of Idaho is an equal opportunity/affirmative action employer and educational institution. Persons with disabilities who require alternative means for communication or program information or reasonable accommodations need to contact Kelton Jensen at by two weeks prior to this event.

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