NAME OF
ADULT APPLYING FOR POSITION CHECKED BELOW:
_____________________________________________________________________
BLT _____ Winter Camp _____ Summer Camp _____
Day Camp _____
Position Description:
In cooperation with other camp staff, adult advisors will be responsible for
the safety and welfare of a group of campers and will sleep with the cabin group.
Adult advisors will act in an advisory or consultant capacity to youth staff and be
a positive role model.
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1. Number of years worked in 4-H:
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2. Number of years worked with other youth
groups, along with description of other known youth involvement: |
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3. Age group(s) worked with: |
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4. Event(s) project(s) worked on: |
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5. How consistent has this person been working
with the same group? |
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6. Special skills or training (CPR/EMT, etc.): |
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7. How well does this person work with youth?: |
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8. Position you worked with applicant: |
I recommend _______________________________________________ (name)
for the position of ADULT ADVISOR for 4-H Camp Staff. My rating of this person is:
(circle one)
Excellent Good Satisfactory Needs Improvement Unsatisfactory
ADDITIONAL COMMENTS: ____________________________________________
___________________________________________
Signature of Recommender |
__________
Date |
Please mail directly to
:
Orange County 4-H Council
1045 Arlington Drive
Costa Mesa, CA 92626
