4-H Camp Counselor Application
Thank you for your interest in becoming a camp counselor for our annual Po-Croix-Bar-Pier 4-H Camp experience!  Please fill out the application below by January 19, 2024.  Contact your 4-H Program Educator if you have any questions or need any assistance.

REMINDER:  In order for your application to be complete, 2 reference forms must be completed - either online or mailed. 

CAMP DATES:  JUNE 12-14, 2024
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Email *
Full Name *
Current Age *
Birth Date *
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Gender *
Full Address (# Street, City, State, ZIP) *
County *
4-H Club *
Grade in School *
Years in 4-H *
Cell Phone *
Email *
T-Shirt Size *
Have you previously attended a Camp Counselor Training Workshop? *
If yes, when and where?
Do you want to be considered for a junior director's position? *
If yes, what skills would you bring to this junior director's position?
Briefly describe any camp experiences (4-H or non 4-H) you have had and if you were a camper or a counselor.  Locations and year attended required.  If none, please let us know as well. *
We have four scheduled trainings for counselors and it is important to attend them all.  Do you have any conflicts with the listed trainings?  If so, what dates? *
Required
Please list dates you are NOT available this summer (vacations/other obligations) to help in planning.
What interests and ideas do you have for camp experiences this year (i.e. canoeing, arts, STEM, etc.) *
Camp Activities:  Which of the following are you comfortable leading at camp?  (Please check all that apply.) *
Required
Describe your experiences with 5 of the camp activities you identified above. *
Explain why you want to be a camp counselor. *
What do you want to learn from your experiences as a camp counselor? *
We will be checking references for our camp counselors this year.  Please list the name, phone number, and email of one 4-H adult and one non-4-H adult that we may contact about your leadership potential as a camp counselor.  REMINDER:  In order for your application to be complete, 2 reference forms must also be completed - either online or mailed. 
4-H Adult Reference Name, Phone Number, and Email *
Non 4-H Adult Reference Name, Phone Number, and Email *
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