Counselor/Junior Counselor Application

Counselor/Junior Counselor Application

To apply to be a Counselor, you must be at least 18 years old or have completed 12th grade by the start of staff training. To apply to be a Junior Counselor, you must be 17 years old or have completed 11th grade by the start of staff training. Once you submit this application and you have been accepted as a Counselor/Junior Counselor by the Camp Directors, you should fill out the Camp Wilmot 2023 Staff Registration Form.
Description of Role:

All counselors hold a variety of responsibilities at Camp Wilmot: from leading activity blocks to worship services to Bible studies, the counselors are asked to care for the physical and emotional well-being of their campers throughout the summer. Counselors will sleep in cabins of up to 10 same-gendered campers and will lead them in cabin-bonding activities, Bible studies, and will make lasting connections with the campers. Counselors will have support for any camper or personal situation that arises from Camp Directors. All of the responsibilities of the Counselors will be thoroughly reviewed and practiced during staff training, covering topics from trauma informed care to how to build an accepting community to how to lead activity blocks. If you have any other questions about the responsibilities and expectations feel free to email campwilmotdirector@gmail.com for more information.
Name:*

First NameLast Name
Preferred Pronouns:
Email Address:*
example@example.com
Phone Number:*

Area CodePhone Number
What weeks will you be available?*

Staff Training: July 3rd-July 8th (This is mandatory unless there are extenuating circumstances which should be communicated to the Camp Directors)Adventure Camp: July 9th-July 15thYouth Camp 1: July 16th-July 22ndYouth Camp 2: July 23rd-29th
What position are you applying for?*

CounselorJunior Counselor
Driver's License # (if applicable):
Driver's License State (if applicable):
Driver's License Expiration Date (if applicable):
Picture of Driver's License (if applicable):

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Church Affiliation

This may not be applicable to all applicants. Please skip this section if you are not affiliated with a church.
Name of Home Church:
Denomination of Home Church
Church Email:
example@example.com

Leadership, Volunteer, and Work Experience
Have you had any leadership experience(s) you would like to share?*

YesNo
Please describe the leadership experience(s) you have had, including the organization's name, the dates you participated, and the duties you fulfilled.
Have you had any volunteering experience(s) that you would like to share?*

YesNo
Please describe the volunteering experience(s) you have had, including the organization's name, the dates you participated, and the duties you fulfilled.
Have you had any work experience(s) that you would like to share?*

YesNo
Please describe the work experience(s) you have had, including the company's name, the dates you were employed, and the duties you fulfilled.

Certifications
Do you have any certifications that you would like to share? (i.e. First Aid, Lifeguarding, Archery, etc.)*

YesNo
Please upload your certification(s) here:

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Questions
Why do you wish to work as a counselor at Camp Wilmot this summer?*
What experience do you have working with children?*
Describe your gifts and strengths related to working with children in an outdoor context. Describe the areas in which you can improve.*
If you wish, describe your Christian faith and the impact that it may have on your life.

References

Please provide three references who can speak to your ability to fulfill the responsibilities of a counselor.
Reference 1 Name:*

First NameLast Name
Reference 1 Relationship to Applicant:*
Reference 1 Email Address:*
example@example.com
Reference 1 Phone Number:*

Area CodePhone Number
Reference 2 Name:*

First NameLast Name
Reference 2 Relationship to Applicant:*
Reference 2 Email Address:*
example@example.com
Reference 2 Phone Number:*

Area CodePhone Number
Reference 3 Name:*

First NameLast Name
Reference 3 Relationship to Applicant:*
Reference 3 Email Address:*
example@example.com
Reference 3 Phone Number:*

Area CodePhone Number

Background Information
Have you ever been convicted of any crime relating in any manner to children and/or your conduct with them?*

YesNo
Have you ever been adjudged liable for civil penalties or damages involving sexual or physical abuse of children?*

YesNo
Are you now or have you ever been subject to any court order involving sexual or physical abuse of a minor, including, but not limited to a domestic order or protection?*

YesNo
I understand that:

a) The camp may deny employment to any person who answers “yes” to any one of the questions above. If hired and the employer later discovers circumstances that would indicate a “yes” answer to any of the above questions, employment may be terminated immediately.
b) The information provided on this form is subject to verification, which may include a criminal history check and request from any Central Registry of child abusers. (A separate release form may be required)
c) The camp may terminate employment or volunteer service of any person if that person is found, regardless of when discovered, to:

have a history of complaints of abuse of a minor; have resigned, been terminated, or been asked to resign from a position whether paid or unpaid, due to complaint(s) of sexual abuse of a minor; and/or
have falsified or omitted information in this disclosure statement.

d) This disclosure statement must be updated yearly and immediate notification provided to the camp if any information provided changes.
Applicant Signature*

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Application Signature
By signing below, I acknowledge that all of the information provided is true to the best of my knowledge. I hereby grant Camp Wilmot permission to verify all aspects of this application including contacting the references I have provided.
Applicant Signature*

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Parent/Guardian Signature if you are under 18 years old

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Counselor/Junior Counselor Application

Church Affiliation

Leadership, Volunteer, and Work Experience

Certifications

Questions

References

Background Information

Camp Activities

Application Signature