(CIT) Application
Counselor In Training Application
Page 1 of 4
Being on Summer Staff is a very demanding job. Done correctly it is also extremely rewarding. We have in place the Counselor In Training (CIT) program to expose participants to the demands of being a counselor and maximize their preparedness to one day be great counselors themselves. As a participant in the CIT program, you will begin to understand the hard work, dedication, and effort that go in to creating an amazing experience for our campers at St. Crispin’s. It’s also a ton of fun! Making the transition from 100% served to 100% serving comes with deep rewards from the special sense of paying it forward. You love Camp. Now you get to help others fall in love with it! The following is taken from the Summer Staff application and gives you a glimpse into the responsibilities of a counselor and some of the things you will learn about as a CIT: Act as a positive role model Participates in weekly staff spiritual program led by Spiritual Formation Director Intentionally builds and maintains relationships Participates in and contributes to the spiritual life of the Camp community Puts needs of others ahead of own Takes a stand for what is right even if unpopular Works consistently, follows through on commitments, and puts in a strong effort even when taxing Resolves disputes or conflicts with other staff members, informing SCD of issues as necessary Ensure that campers feel loved and accepted and have the best experience of their lives Responsible for the health, safety, and happiness of campers Responsible for the carrying out of assignments as assigned by SCD Lives in cabin with either another Summer Staff Counselor, Volunteer, or CIT Teach and manage assigned activities Responsible for maintaining discipline in the cabin, at meal times, and activities Inform SCD of problems with campers or other counselors Comes up with activities or a plan of action when conditions change suddenly v Exercises initiative v Uses good judgment v Participates
v Is positive v Has a strong work ethic v Is enthusiastic
v Easily adapts v Has a sense of humor v Plans ahead
The CIT program is for those going into the 11th & 12th grade (2017-2018 school year) & 2017 graduates. SPOTS ARE LIMITED AND AWARDED ON A ROLLING BASIS. THE SOONER YOU SUBMIT A COMPLETED APPLICATION & REFERENCES, THE SOONER YOU WILL RECEIVE A SPOT. Chosen CITs will be required to attend CIT training on June 17-18, 2017 (the end of Senior High session). Please do not hesitate to contact me if you have questions or concerns. Daniel Chapman, Summer Camp Director [email protected] 405-382-1619 36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
Counselor In Training Application
Page 2 of 4
Today’s Date: ___________________ Full Name: ___________________________________________ Name Called: _________________________ Mailing Address: ___________________________________________ Cell Phone #: ____________________ City: _______________________________________ State: _____________________ Zip: _______________ Email Address: ___________________________________________ Date of Birth: _________________ Age as of June 1, 2017: _______ School Attending: ____________________________________________ GPA: ________ Grade you will be in 2017-2018 school year: _____________ Name of Church you Attend: __________________________________________________________________ Name of Clergy (& Contact Info if not Episcopal church in Oklahoma): __________________________________________________________________________________________ Describe Your Current Involvement in Church: __________________________________________________________________________________________ __________________________________________________________________________________________ Extracurricular Involvement (clubs, sports, activities, etc.): __________________________________________________________________________________________ __________________________________________________________________________________________
Give the Reference Form to three people we can call. Bosses, supervisors, clergy, teachers, coaches, etc. are acceptable. At least one must be a relative. Your references must mail or scan/email their form directly to Daniel at St. Crispin’s. Name Phone # Email Relationship to You 1)
2)
3) Answer the following questions. Use additional pages or sheets of paper. 36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
Counselor In Training Application
Page 3 of 4
1) Why do you want to be a CIT? 2) What skills would you like to gain from the CIT program? 3) What qualities do you have that would make you an asset to the CIT program? 4) What do you see as your new responsibilities during your transition from camper to CIT? 5) What will you find challenging as a CIT and how will you handle those challenges? 6) How will you handle the transition from 100% served to 100% serving? 7) Describe your ideal counselor. What kind of CIT do you want to be? 8) Describe a time when you worked as part of a group/team and describe your role in that group/team.
SESSION PREFERENCE: Rank your preference of session at which to be a CIT. 1 being first preference 6 being last. There is no guarantee that you will be selected to serve at your first preference. Do not put a number next to sessions that you cannot attend. Intermediate 1 (4th-6th)
June 18-24
____________
Jr. High 1 (7th-9th)
June 25-July 1
____________
All Ages (4th-Grad)
July 2-8
____________
Intermediate 2 (4th-6th)
July 9-15
____________
July 16-22
____________
*working with 4th-9th* th
th
Jr. High 2 (7 -9 )
36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
Counselor In Training Application
Page 4 of 4
Please initial each item to signify your compliance with the statement (If under age of 18, parent/ guardian must also initial all items): _______ I agree to observe all church policies regarding working with children and youth. _______ I have read and agree to abide by the Guidelines for Appropriate Affection in Ministry With Children for Youth (available as Download with Application Forms). _______ I have not been convicted of either child physical or sexual abuse. _______ I agree to not physically, sexually, or emotionally abuse or neglect a child or youth. _______ I understand that the church will not tolerate abuse or neglect of children or youth. _______ I agree to do my best to prevent abuse and neglect among children and youth involved in church sponsored activities and in the event that I observe any inappropriate behaviors or possible policy violations with children or youth I agree to immediately report my observations. Acknowledgment, Release, and Signature for those aged 18 and above at time of application: To the best of my knowledge, the information contained in this application is complete and accurate. I understand that providing false information is grounds for not hiring me or choosing me for a volunteer position or for my discharge if I have already been hired or chosen. I authorize any person or organization, whether or not identified in this application, to provide any information concerning my previous employment, education, credit history, driving record, criminal conviction record, sexual offender registry or other qualifications for my employment or volunteering. I also authorize the Diocese of Oklahoma to request and receive such information. If hired or chosen, I agree to be bound by diocesan policies and procedures, including but not limited to its Policies for Ministries with Children or Youth and Guidelines for Appropriate Affection in Ministry With Children or Youth. I understand that these may be changed, withdrawn, added to or interpreted at any time at the Diocese of Oklahoma’s sole discretion and without prior notice to me. I also understand that my employment or volunteering may be terminated, or any offer or acceptance of my employment or volunteering withdrawn, at any time, with or without cause, and with or without prior notice at the option of the Diocese or myself. Nothing contained in this application or in any pre-employment or pre-volunteering communication is intended to or creates a contract between the Diocese of Oklahoma and me for employment, volunteering or the providing of any benefit. I have read and understand the above provisions. I understand that the Diocese will perform a background check on me and that my references will be checked. **If you are filling this form out on a computer, please type FULL LEGAL NAME and BIRTHDATE in Signature space, as well as today’s date in Date space.** Signature ___________________________________________ Date: __________ Print Name __________________________________________ Return this application either by scanning/emailing or by mail: St. Crispin’s CIT Application Attn: Daniel Chapman 36302 State Highway 9 Wewoka, OK 74884 Email: [email protected]
36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
MAIL TO: St. Crispin’s 36302 State Highway 9 Wewoka, OK 74884
REFERENCE FORM Applicant Name: ________________________________ Applicant is applying to be a: COUNSELOR IN TRAINING
The above-named person has applied for a position with our organization and has given your name as a reference. You can be of considerable assistance to us in determining the applicant’s ability to meet our standards for youth work. Positions at Camp require emotional maturity, proven leadership ability, and a strong work ethic. Basic character and attitude are more important to us than work experience. If successful, the applicant will be working closely with the children entrusted to our care. Please be honest and prompt with your evaluation, which will be kept in confidence. Thank you. Mail or scan/take a photo/email this form directly to St. Crispin’s as soon as possible. Contact the Summer Camp Director Daniel Chapman with questions: 405-382-1619 [email protected] How long have you known this applicant? _______ Years _______ Months What is your relationship to this individual? ___________________________________________ Fair
Average
Above Average
Exceptional
Unable to Comment
Ability to affect others positively
________
________
________
________
________
Emotional maturity
________
________
________
________
________
Communication skills
________
________
________
________
________
Leadership ability
________
________
________
________
________
Concern for others Cooperation
________
________
________
________
________
________
________
________
________
________
Warmth of personality
________
________
________
________
________
Responsibility
________
________
________
________
________
Personal initiative
________
________
________
________
________
What are this individual’s greatest needs for development? __________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What are this individual’s strengths? ____________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Please circle one of the options regarding the applicant: Highly Recommend
Recommend
Indifferent
Not Recommend
Signature: ____________________________________
Occupation: _______________________________
Printed Name: _________________________________
Telephone: ________________________________
Address: _____________________________________
Email: _____________________
Page 1 of 4
Being on Summer Staff is a very demanding job. Done correctly it is also extremely rewarding. We have in place the Counselor In Training (CIT) program to expose participants to the demands of being a counselor and maximize their preparedness to one day be great counselors themselves. As a participant in the CIT program, you will begin to understand the hard work, dedication, and effort that go in to creating an amazing experience for our campers at St. Crispin’s. It’s also a ton of fun! Making the transition from 100% served to 100% serving comes with deep rewards from the special sense of paying it forward. You love Camp. Now you get to help others fall in love with it! The following is taken from the Summer Staff application and gives you a glimpse into the responsibilities of a counselor and some of the things you will learn about as a CIT: Act as a positive role model Participates in weekly staff spiritual program led by Spiritual Formation Director Intentionally builds and maintains relationships Participates in and contributes to the spiritual life of the Camp community Puts needs of others ahead of own Takes a stand for what is right even if unpopular Works consistently, follows through on commitments, and puts in a strong effort even when taxing Resolves disputes or conflicts with other staff members, informing SCD of issues as necessary Ensure that campers feel loved and accepted and have the best experience of their lives Responsible for the health, safety, and happiness of campers Responsible for the carrying out of assignments as assigned by SCD Lives in cabin with either another Summer Staff Counselor, Volunteer, or CIT Teach and manage assigned activities Responsible for maintaining discipline in the cabin, at meal times, and activities Inform SCD of problems with campers or other counselors Comes up with activities or a plan of action when conditions change suddenly v Exercises initiative v Uses good judgment v Participates
v Is positive v Has a strong work ethic v Is enthusiastic
v Easily adapts v Has a sense of humor v Plans ahead
The CIT program is for those going into the 11th & 12th grade (2017-2018 school year) & 2017 graduates. SPOTS ARE LIMITED AND AWARDED ON A ROLLING BASIS. THE SOONER YOU SUBMIT A COMPLETED APPLICATION & REFERENCES, THE SOONER YOU WILL RECEIVE A SPOT. Chosen CITs will be required to attend CIT training on June 17-18, 2017 (the end of Senior High session). Please do not hesitate to contact me if you have questions or concerns. Daniel Chapman, Summer Camp Director [email protected] 405-382-1619 36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
Counselor In Training Application
Page 2 of 4
Today’s Date: ___________________ Full Name: ___________________________________________ Name Called: _________________________ Mailing Address: ___________________________________________ Cell Phone #: ____________________ City: _______________________________________ State: _____________________ Zip: _______________ Email Address: ___________________________________________ Date of Birth: _________________ Age as of June 1, 2017: _______ School Attending: ____________________________________________ GPA: ________ Grade you will be in 2017-2018 school year: _____________ Name of Church you Attend: __________________________________________________________________ Name of Clergy (& Contact Info if not Episcopal church in Oklahoma): __________________________________________________________________________________________ Describe Your Current Involvement in Church: __________________________________________________________________________________________ __________________________________________________________________________________________ Extracurricular Involvement (clubs, sports, activities, etc.): __________________________________________________________________________________________ __________________________________________________________________________________________
Give the Reference Form to three people we can call. Bosses, supervisors, clergy, teachers, coaches, etc. are acceptable. At least one must be a relative. Your references must mail or scan/email their form directly to Daniel at St. Crispin’s. Name Phone # Email Relationship to You 1)
2)
3) Answer the following questions. Use additional pages or sheets of paper. 36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
Counselor In Training Application
Page 3 of 4
1) Why do you want to be a CIT? 2) What skills would you like to gain from the CIT program? 3) What qualities do you have that would make you an asset to the CIT program? 4) What do you see as your new responsibilities during your transition from camper to CIT? 5) What will you find challenging as a CIT and how will you handle those challenges? 6) How will you handle the transition from 100% served to 100% serving? 7) Describe your ideal counselor. What kind of CIT do you want to be? 8) Describe a time when you worked as part of a group/team and describe your role in that group/team.
SESSION PREFERENCE: Rank your preference of session at which to be a CIT. 1 being first preference 6 being last. There is no guarantee that you will be selected to serve at your first preference. Do not put a number next to sessions that you cannot attend. Intermediate 1 (4th-6th)
June 18-24
____________
Jr. High 1 (7th-9th)
June 25-July 1
____________
All Ages (4th-Grad)
July 2-8
____________
Intermediate 2 (4th-6th)
July 9-15
____________
July 16-22
____________
*working with 4th-9th* th
th
Jr. High 2 (7 -9 )
36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
Counselor In Training Application
Page 4 of 4
Please initial each item to signify your compliance with the statement (If under age of 18, parent/ guardian must also initial all items): _______ I agree to observe all church policies regarding working with children and youth. _______ I have read and agree to abide by the Guidelines for Appropriate Affection in Ministry With Children for Youth (available as Download with Application Forms). _______ I have not been convicted of either child physical or sexual abuse. _______ I agree to not physically, sexually, or emotionally abuse or neglect a child or youth. _______ I understand that the church will not tolerate abuse or neglect of children or youth. _______ I agree to do my best to prevent abuse and neglect among children and youth involved in church sponsored activities and in the event that I observe any inappropriate behaviors or possible policy violations with children or youth I agree to immediately report my observations. Acknowledgment, Release, and Signature for those aged 18 and above at time of application: To the best of my knowledge, the information contained in this application is complete and accurate. I understand that providing false information is grounds for not hiring me or choosing me for a volunteer position or for my discharge if I have already been hired or chosen. I authorize any person or organization, whether or not identified in this application, to provide any information concerning my previous employment, education, credit history, driving record, criminal conviction record, sexual offender registry or other qualifications for my employment or volunteering. I also authorize the Diocese of Oklahoma to request and receive such information. If hired or chosen, I agree to be bound by diocesan policies and procedures, including but not limited to its Policies for Ministries with Children or Youth and Guidelines for Appropriate Affection in Ministry With Children or Youth. I understand that these may be changed, withdrawn, added to or interpreted at any time at the Diocese of Oklahoma’s sole discretion and without prior notice to me. I also understand that my employment or volunteering may be terminated, or any offer or acceptance of my employment or volunteering withdrawn, at any time, with or without cause, and with or without prior notice at the option of the Diocese or myself. Nothing contained in this application or in any pre-employment or pre-volunteering communication is intended to or creates a contract between the Diocese of Oklahoma and me for employment, volunteering or the providing of any benefit. I have read and understand the above provisions. I understand that the Diocese will perform a background check on me and that my references will be checked. **If you are filling this form out on a computer, please type FULL LEGAL NAME and BIRTHDATE in Signature space, as well as today’s date in Date space.** Signature ___________________________________________ Date: __________ Print Name __________________________________________ Return this application either by scanning/emailing or by mail: St. Crispin’s CIT Application Attn: Daniel Chapman 36302 State Highway 9 Wewoka, OK 74884 Email: [email protected]
36302 State Highway 9 Wewoka, OK 74884
[email protected] 405-382-1619
MAIL TO: St. Crispin’s 36302 State Highway 9 Wewoka, OK 74884
REFERENCE FORM Applicant Name: ________________________________ Applicant is applying to be a: COUNSELOR IN TRAINING
The above-named person has applied for a position with our organization and has given your name as a reference. You can be of considerable assistance to us in determining the applicant’s ability to meet our standards for youth work. Positions at Camp require emotional maturity, proven leadership ability, and a strong work ethic. Basic character and attitude are more important to us than work experience. If successful, the applicant will be working closely with the children entrusted to our care. Please be honest and prompt with your evaluation, which will be kept in confidence. Thank you. Mail or scan/take a photo/email this form directly to St. Crispin’s as soon as possible. Contact the Summer Camp Director Daniel Chapman with questions: 405-382-1619 [email protected] How long have you known this applicant? _______ Years _______ Months What is your relationship to this individual? ___________________________________________ Fair
Average
Above Average
Exceptional
Unable to Comment
Ability to affect others positively
________
________
________
________
________
Emotional maturity
________
________
________
________
________
Communication skills
________
________
________
________
________
Leadership ability
________
________
________
________
________
Concern for others Cooperation
________
________
________
________
________
________
________
________
________
________
Warmth of personality
________
________
________
________
________
Responsibility
________
________
________
________
________
Personal initiative
________
________
________
________
________
What are this individual’s greatest needs for development? __________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What are this individual’s strengths? ____________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Please circle one of the options regarding the applicant: Highly Recommend
Recommend
Indifferent
Not Recommend
Signature: ____________________________________
Occupation: _______________________________
Printed Name: _________________________________
Telephone: ________________________________
Address: _____________________________________
Email: _____________________
