Junior Counselor Application 2025

Junior Counselor Application 2025

Camp Libbey & Camp Whip Poor Will
Please complete this form to submit your 2025 Junior Counselor application by June 1, 2025!

This application form could take longer than 30 minutes to complete. We recommend completing the entire application in one sitting (responses will not be saved on some devices if you choose to stop and come back later). You may scroll through the form below for a preview of the information needed before you begin your application!

Girl Scouts of Western Ohio is committed to creating an inclusive environment. All applicants for junior counselor positions will be considered without regard to race, religion, color, sex, age, nation origin, citizenship, disability, or any other classification.
Applicant Information
Name*

First NameLast Name
Grade in Fall 2024*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year completed Counselor-in-Training (CIT) 1*
Note: CIT 1 is a pre-requisite to be considered for a Junior Counselor position.
Year completed Counselor-in-Training (CIT) 2
Note: Girls who have not completed CIT 2 can submit a Junior Counselor application and will be considered on a case-by-case basis.
Have you previously completed Junior Counselor or Junior Instructor?*

NoYes
At which camp did you complete Junior Counselor or Junior Instructor?
Camp name
Availability
Junior counselors must commit to working a minimum of two sessions of overnight camp. You may work as many additional sessions as you would like. Please mark all sessions you would like to work during the summer. You may not work half sessions.

Note: You must attend pre-camp training at Camp Libbey on June 4 - 6, 2025 (overnight).
Select any Camp Libbey sessions you would like to work:*

Session 1 (June 8 - 13)Session 2 (June 15 - 20)Session 3 (June 22 - 27)None
Select any Camp Whip Poor Will sessions you would like to work:*

Me & My Gal Session (June 30 - July 2)Session 5 (July 6 - 11)Session 6 (July 13 - 18)Session 7 (July 20 - 25)Session 8 (July 27 - Aug 1)
Education
What school do you attend?*
What extracurricular activities do you participate in?
What leadership positions have you held?
Past Employment

Please share any previous job experience. If you have not had a job, please leave this section blank.
Employer/Company
Supervisor Name

First NameLast Name
Job Title
Job Duties
Girl Scout Experience
Are you currently a registered Girl Scout? (2024-2025 membership year)*

YesNo
How many years have you participated in Girl Scouts?*
Select any Highest Awards you have achieved:

Bronze AwardSilver AwardGold Award (completed)Currently working on Gold Award
Select any Leadership Awards you have earned:

Silver TorchSilver & Gold TorchGold Torch
What leadership positions have you held in Girl Scouts?
Camp Experience
Have you attended camp as a camper?*

YesNo
Select the type(s) of camp you have attended:

Girl Scout overnight campGirl Scout day campGirl Scout Troop Adventure CampChurch campSports campPrivate campOther
How many years of day camp experience do you have?*
How many years of overnight camp experience do you have?*
Camp Skills
Please rank each of the skills below, based on the following scale:

1 — Proficient and can probably lead

2 — Some experience and can assist leading

3 — No experience
Arts & Crafts*
Songs*
Games*
Nature*
Skits & Plays*
Campfire Cooking*
Water Sports*
Outdoor Skills (examples: knot tying, knife skills/safety, hiking, trekking, nature identification)*
Certifications
Please list all current and applicable certifications (i.e. First Aid/CPR, Lifeguard, Canoeing, etc.). Include their expiration dates.
Special Skills & Talents
Please list any additional skills and talents you would like to share with campers or staff.
Question & Answer Section
Who or what inspired you to become a Junior Counselor? Why?*
What did you learn last year that will make you an ideal Junior Counselor?*
What skills and experience do you have that would help you in leading camp activities for campers?*
What do you hope to gain from being a Junior Counselor this summer?*
References

Please provide information for three references.
Reference #1 Name

First NameLast Name
Reference #1 Phone Number
Please enter a valid phone number.
Reference #1 Email
example@example.com
What is your relationship to Reference #1?
Reference #2 Name

First NameLast Name
Reference #2 Phone Number
Please enter a valid phone number.
Reference #2 Email
example@example.com
What is your relationship to Reference #2?
Reference #3 Name

First NameLast Name
Reference #3 Phone Number
Please enter a valid phone number.
Reference #3 Email
example@example.com
What is your relationship to Reference #3?
Statement of Understanding
Please read the following statements. Select the box next to each statement to certify that, by your signature, you consent to these statements.*

I certify that all information is true and complete and that I have not knowingly withheld any information that might, if disclosed, affect my application unfavorably. I understand that any misrepresentationon or omission of facts on this application will be cause for rejection of this application or dismissal after acceptance.I understand that I will be required to submit a certificate of physical examination (conducted within the past 12 months) upon arrival at camp. I am aware that I must become a member of the Girl Scouts of the USA and I agree to uphold its ideals and policies.I am willing to work with people of different backgrounds, regardless of disability, ethnicity, race, religion, socioeconomic status or any other cultural classification.I understand that Junior Counselors are expected to abide by established behavior expectations, and that failure to do so will result in disciplinary action and might result in dismissal from camp. Additionally, I recognize that the attitudes and behaviors of all Junior Counselors are critical to the success of camp.I understand that due to space restrictions and the goals of camp, only a limited number of Junior Counselors can be accepted. Positions are competitive and based on applications, references, and interviews.
Applicant's Signature*

Clear
Date*

MonthDayYear
Date
Caregiver's Signature*

Clear
Caregiver's Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Junior Counselor Application 2025

Applicant Information

Availability

Education

Past Employment

Girl Scout Experience

Camp Experience

Camp Skills

Certifications

Special Skills & Talents

Question & Answer Section

References

Statement of Understanding