CIT Application

As a social service health agency, HFM believes community and patient safety is a top priority. To ensure community members remain safe and healthy while attending HFM camping programs, HFM will require all staff to provide proof of full, up-to-date vaccinations, including COVID-19 vaccinations.

"I understand that, if selected for a counselor-in-training position at Camp Bold Eagle, I will need to provide proof that all of my vaccinations are up-to-date, including COVID-19 vaccinations."*

Yes

Eagle Journeys

Camp Bold Eagle

Counselor-In-Training Application

All camps require unique skills of its staff. Following are some questions to consider, helping you decide if Camp Bold Eagle is an appropriate place for you to devote your time and energy. This assessment is for your purposes alone, so be completely honest with yourself. Discuss this decision with important people in your life. Being a C.I.T. at camp is a commitment, and it is important to make sure that the commitment is a good fit for you.

Can you BE PRESENT?

Orientation for CIT staff begins on Monday, July 7, 2025, and camp ends on Saturday, July 26, 2025. Are you available to attend camp for this entire period?

Being present means not only being physically at camp the entire time but also being mentally present. Can you focus all of your attention on your campers and fellow staff members when on duty?

Can you BE RESPONSIBLE?

As a C.I.T., you will be given new responsibilities: helping look after campers, assisting with set-up and implementation of programs, completing an improvement project around camp. You will also be expected to take responsibility for you. Can you be on time for activities? Can you take care of your medical needs without the health center reminding you? Can you complete this application process with minimal help from your parent or guardian?

Can you BE CAMP?

Camp is a place where being silly and sincere and vulnerable are encouraged and expected. "Being Camp" means being willing to look silly singing a song or getting a pie to the face if it will make a camper's day. Camp is a place of positivity and acceptance. At Camp Bold Eagle, we strive to make camp a life-enriching experience for all who attend, campers and staff alike. To what length are you willing to go in order to be the best camp counselor or staff person that you can be?

Thanks for considering these important questions! Every staff person is important to the mission of Camp Bold Eagle and the campers rely on you for this extraordinary experience. If, after answering these questions, camp is a good fit for you, it promises to be an equally life-enriching and rewarding experience.

"After reading this statement, I believe camp will be a good fit for me and I believe I will be a valuable asset to Camp Bold Eagle this summer."*

YesNo

Application Deadlines:

Counselor-in-Training Staff Positions: March 14, 2025

You will only be considered for a CIT position if your application and three letters of recommendation are received by the above deadline.

Please return the following items to the Eagle Journeys office by the above date:

· Completed application

· Three letters of recommendation from unrelated adults

Eagle Journeys
C/O: Hemophilia Foundation of Michigan
1921 W. Michigan Ave.
Ypsilanti, MI 48197

(734) 544-0015 · Fax: (734) 544-0095 · Email: twicks@hfmich.org

CIT In-person Orientation Begins: Monday, July 7 at 12:00 PM

Camp Ends: Saturday, July 26 at 12:00 PM

"I understand that I will need to provide three (3) letters of recommendation by the March 14, 2025 deadline."*

Yes

Eagle Journeys will require parental authorization with regard to the application of a minor and will follow all applicable federal and state laws regarding the training of a minor.

Are you available for the entire program?*

YesNo

If no, please indicate your conflict.

(Not being available for the entire program may exclude you from being considered for a staff position)

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Main Phone Number*

Alt. Phone Number

E-mail*

In order to save paper and postage, may we correspond with you via email?*

YesNo

Educational Background:

	Name and Location of School	Course of Study	No. of Years Completed	Diploma or Degree Received
High School or GED
College/University
Graduate Work
Vocational or Trade School
Other (Please Explain)

Name of Employer

Telephone Number

Full Address: (Including Street, City, State & Zip)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Your Title:

Supervisor's Name and Title:

Date Employed "From"

MonthDayYear

Date Employed "To"

MonthDayYear

Beginning Pay

Final Pay

Reason (s) for Leaving:

Describe the Work Performed:

Name of Employer

Telephone Number

Full Address: (Including Street, City, State & Zip)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Your Title:

Supervisor's Name and Title:

Date Employed "From"

MonthDayYear

Date Employed "To"

MonthDayYear

Beginning Pay

Final Pay

Reason (s) for Leaving:

Describe the Work Performed:

Name of Employer

Telephone Number

Full Address: (Including Street, City, State & Zip)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Your Title:

Supervisor's Name and Title:

Date Employed "From"

MonthDayYear

Date Employed "To"

MonthDayYear

Beginning Pay

Final Pay

Reason (s) for Leaving:

Describe the Work Performed:

Name of Employer

Telephone Number

Full Address: (Including Street, City, State & Zip)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Your Title:

Supervisor's Name and Title:

Date Employed "From"

MonthDayYear

Date Employed "To"

MonthDayYear

Beginning Pay

Final Pay

Reason (s) for Leaving:

Describe the Work Performed:

Please list summer camp experience including camp name, dates of employment and position held:

	Camp	Position/Duties	Dates of Employment
1
2
3

Please tell us about any formal training, experience, or continuing education relative to your camp position that would add value to camp (any applicable classes, workshops, certificate programs, self-study, etc.):*

Tell us about hobbies or activities you participate in on a regular basis and what you enjoy about each:*

What do you think are the most important qualities for a counselor-in-training and why?*

What would you like to gain, personally, from being a counselor-in-training at Camp Bold Eagle and why?*

Current certifications and expiration dates (i.e., First Aid, CPR, Life Saving, AED, etc.): (Please include copies of any certificates or proof of certification or training.)

	Certification	Issuing Agency	Expiration Date
1
2
3
4
5

ACKNOWLEDGEMENT

I hereby affirm that the information provided in this application is true, accurate and complete to the best of my knowledge and understand that any falsification of the information contained herein may serve as the basis for rejection of said application and/or termination of engagement. In addition, I fully understand that my engagement is contingent upon compliance with any conditions, rules, or regulations required by Eagle Journeys.

I hereby authorize educational institutions, employers, law enforcement authorities, organizations, and individuals having relevant information concerning me to release all information from their files and other sources pertaining to any personal background including, but not limited to, academic and athletic information, employment records, disciplinary action, police records, or any other records pertaining to me, to and for the use of Eagle Journeys. I hereby release all persons, institutions, and organizations, individually and collectively, from any and all liability for damages or whatever kind, which may at any time result because of compliance with this authorization or any attempt to comply with it. Should there be any questions as to the validity of the release, you may contact me.

In consideration of my placement, I agree to conform to the rules, policies and regulations of Eagle Journeys as they now exist or as they are hereafter modified. I further agree that my engagement can be terminated, with or without cause, at any time, at the option of either Eagle Journeys or myself.

"By signing electronically, I understand that Eagle Journeys will use this as a legal signature attesting that all information within this document is accurate to the best of my knowledge."*

I understand this statement

Signature

Parent/Guardian Signature

EAGLE JOURNEYS PROGRAMS ARE ALCOHOL, DRUG, AND SMOKE FREE ENVIRONMENTS

(Prescription drugs are stored and administered by the Health Center Medical Staff)

Questions? Please contact Gelli Kelley at (734)-961-3513 or akelley@hfmich.org or Travis Miller at (734) 961-3510 or tmiller@hfmich.org

Counselor-in-Training Application

Counselor-In-Training Application

Personal Information

Employment History:

Additional Questions