Western Plains Distict Counselor in Training Application

  • Counselor in Training Application

    Thank you for your interest in serving as a counselor in training (CIT). Please be aware of our current guidelines. In order to serve as a CIT you must be at least 14 years old AND at least 3 years older than the oldest camper of the session in which you wish to serve.

  • Prior to completing this CIT registration form, you will need the following:

    1. Permission from the director(s) to serve as a CIT for the camp session(s) you have chosen (Check the camp websites for director name and email address)


    2. Completed health form to upload (or you may send by mail to the director if you prefer no later than 2 weeks prior to start of camp). As you are under the age of 18, you should submit the CAMPER HEALTH FORM.


    3. Health insurance card to upload (front and back – a picture is fine)


    4. Immunization record to upload (a picture is fine)


    5. Driver’s license to upload – or other form of identification (a picture is fine)


    6. Confirm with the district office that you have 3 current reference forms on file (620-241-4240; office@wpcob.org). Reference forms are good for 10 years and cannot be from members of your family. If you do not have current forms on file, you may give this link to your references, which, when completed, will be automatically submitted to the district office.


    7. Parental awareness of your intent to volunteer as a CIT.

     

    Camp Colorado CITs will need to complete the Standard Precautions Training (more info available here) and have your completion certificate available to upload. This training is required each year.

  • Counselor in Training Application

    Please complete all sections of this application to be considered for the Counselor in Training (CIT) program.

  • Applicant Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Camp Choices

  • Choice of Camp*
  • Choice of Camp Session (Camp Colorado)
  • Choice of Camp Session (Camp Mt. Hermon)

  • Emergency Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • School Information

  • Experience

  • References

  • Camps are required to keep reference forms from three (3) references on file for you. Reference forms are good for 10 years. Forms should come from persons who know you well and are not members of your family. Your application will not be complete until these forms have been received. The online reference form can be found HERE and shared with your references for completion.

    By signing my initials below, I am affirming that I have confirmed with the Western Plains District office (620-241-4240; office@wpcob.org) that I have 3 reference forms on file, and I understand that my application is not complete without the reference forms on file.

  • Health Information

  • All staff are required to have a completed health form on file. As you are under the age of 18, you should submit the camper health form.

    Health forms are good for 1 year and can be found HERE 

    or on the camps’ websites: www.campcolorado.org and www.campmounthermon.org. You can upload the Health Form below or mail it to your director.

    Please also upload a copy of your health insurance card (unless you do not have health insurance) and immunization record below.

    All staff are also required to have some form of identification on file. There is a space for you to upload either a driver’s license or other form of ID below.

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  • Standard Precautions Training

  • Per Colorado Child Care law, all staff are required to complete a state approved Standard Precautions training as part of the application and pre-camp process. This training helps ensure the health and safety of all campers and staff by providing guidance on hygiene practices, illness prevention, exposure response, and maintaining a safe camp environment.

    Completion of this requirement is mandatory prior to participation in camp programming and done annually.

     

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  • Preventing and Responding to Child Abuse and Neglect

  • Per Colorado Child Care law, all staff are required to complete Preventing and Responding to Child Abuse and Neglect training as part of the application and pre-camp process.

    This mandatory training equips staff with the knowledge and responsibility to recognize signs of abuse or neglect, maintain safe boundaries, respond appropriately to concerns, and fulfill mandatory reporting obligations.

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  • Applicant's Statement

  • By signing my full name below, I agree to the Applicant’s Statement that follows:

    • I certify that the information contained on this application is correct to the best of my knowledge and understand that any omission or erroneous information is grounds for dismissal.
    • I agree to support and uphold the mission of the Western Plains District Camping Program.
    • I agree to operate under the policies and procedures of the camp(s) where I will be on staff.
    • I authorize Camp Colorado and/or Camp Mt. Hermon and the Western Plains District to photograph me and to use such photographs for the purpose of camp promotion, publicity or historical record.

  • Parental Consent

  • By signing my full name below, I acknowledge that, as parent/legal guardian, I am aware of my child’s/ward’s intent to volunteer at Camp Colorado or Camp Mt. Hermon for the 2025 camping season.

  • Before submitting, please review and confirm all responses are accurate. Thank you for taking the time to apply to serve at camp!

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