Girls Boys Camp App 2009

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Girls/Boys Science Camp Counselor Application Return to Linda Chilton in AHF 254 (email or fax 213­740­5936) ON or BEFORE FEB. 17, 2009 Direct questions to Linda at (213) 740­1965 or  PLEASE ATTACH A PHOTO WITH THE APPLICATION (Please type or print)

Date:                                                     

Name:                                                                                                                                                                     Permanent Address:                                                                                                                                                                                   Local Address:                                                                                                                                                                                               Local Phone:                                   Summer Phone:                                            Email:                                                                   Cell phone  :                                                                

 Summer email if different after May 2009:                                                                           Major:

                                                                Minor:                                               Class:                                                   

Which camp session are you interested in? (You may choose more than one. NOTE:  Male counselors   only for Boys Camp, Female Counselors only for Girls and Women camps.) Summer Science Program for: ____ Middle School Girls July 5 – July 12

______High School women July 26 ­ August 2

____  Middle School Boys, August 13 – 20

Counselor volunteers are REQUIRED to complete a training session at the Wrigley Marine Science  Center on Catalina.  We will depart for the island on the morning of Saturday, March 7th and  return the late afternoon  of Sunday, March 8th Can you meet this commitment?   ____  Yes

____  No

Please describe your past work experience, paid and volunteer.                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Please describe your camp experience (either as a staff member or as a camper). Or, describe non­ camp experiences working with children.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         What do you hope to get out of your camp experience?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Please give the name and phone number of two people (not living with you) who have knowledge of  your character, experience and ability.                                                                                                                                                                                                                                                                                                                                                                     The following list represents special skills that are helpful at Summer Science Camp.  Please put a U  next to skills/activities you are uncomfortable with, a P next to skills/activities you are comfortable  participating in with campers, an A next to skills/activities you are comfortable assisting in leading,  and an L next to skills/activities you would be comfortable leading. ____  Ocean swimming

____  Ocean snorkeling

____  Night snorkeling ____  Arts and Crafts ____  Ocean Kayaking

CPR Certified?            Exp. Date                            

_____Hiking 

Certified Lifeguard?  Yes             No

____  Volleyball ____  Working in lab with microscope

Exp. Date                                                                   

____  Camp games 

Do you know how to swim?  Yes_____  No______ (it is not required, but is helpful) (Please remember to include a photo of yourself)

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