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)