YMCA Camp Gorham To Parents: Please ensure online registration ...

YMCA Camp Gorham
2012 COUNSELOR-IN-TRAINING APPLICATION
To Parents: Please ensure online registration form is complete prior to having
applicant complete this application.
To Applicant: Please complete the following application forms. Pages 1, 2 and 3
are to be completed on the original page. Follow instructions for page 4.
All sections of the application must be returned at the same time, only once we
have received the completed packet will you be contacted for a phone interview.
Use the following guide to ensure you have all necessary paperwork completed
Document
Online Registration
Page 1 Application Agreement
Page 2 Background Information
Page 3 Reference Sheet
Reference form 1
Reference form 2
Reference form 3
Personal Statement
Signed CIT Contract
Completed?
By completing this application I have applied for acceptance into the Camp Gorham Counselor-
In-Training program. I understand that this information will be shared with staff as is deemed
appropriate for the program. All information given in this application is correct and of my own
working.
Applicant’s Signature _____________________________ Date ________________________
Applicant’s Name (please print) __________________________________________________
YMCA Camp Gorham
265 Darts Lake Road, Eagle Bay, NY, 13331
315 357 6401

Background Information
O CIT - Sessions 1: June 24 to July 21 $1,495
O CIT - Sessions 2: July 22 to August 18 $1,495
Last Name_______________________________ First Name ________________________________M.I. ____
Birth Date ____/____/____ Boy Girl Grade 9/11 ______ Camper’s Phone (______)________________
Street Address _____________________________City_______________________ St.____Zip_________
Rochester YMCA Member? No Yes YMCA Branch ___________________________________________
Email address: _______________________________________________
EXPERIENCE:
Work experience (grass cutting, baby sitting, etc.)
Volunteer experience (nursing home, hospital, YMCA, etc.)
Hobbies, Interests, awards (club memberships, sports, honors, etc.)
Certifications (CPR, First Aid, etc.) –must be current
2

REFERENCES:
Please list three people you wish to use as references (i.e., teachers, employers,
ministers, counselors, scout leaders, YMCA personnel or others who can give an
honest accounting of the type of person you are). These are the individuals to
whom you will give a YMCA of Greater Rochester/Camp Gorham Reference Form.
References by personal friends or relatives will not be considered.
Completed reference forms must be sent at the along with all other
necessary paperwork:
1. Name __________________________________
Relationship______________________________
Phone Number (_________)________________
Number of year’s known______________
2. Name __________________________________
Relationship______________________________
Phone Number (_________)________________
Number of year’s known______________
3. Name __________________________________
Relationship______________________________
Phone Number (_________)________________
Number of year’s known______________
3

Personal Statement
Personal statements must be typed on a separate piece of paper, single spaced and in size 12
font. Candidates must complete one elective topic from section 1 along with answering section
2.
1) Elective Topics (pick a, b, c or d). Your answer must include details of who you
are as a person. 400-500 words.
a) What can you offer Camp Gorham?
• What attracts you to the Camp Gorham CIT program as opposed to other
options you may have this summer?
• What contribution do you hope to make to Camp Gorham?
• What are you searching for out of your CIT experience?
• What experience can you draw on in order to be successful?
• How will you know you have been successful?
b) What makes a great counselor?
• What is your definition of a counselor?
• Who has acted as the greatest role model in your camp experience? Why?
• What character traits must you exhibit in order to be a great counselor?
• What are the biggest challenges great counselors face?
• What separates a good counselor from a great counselor?
c) What makes a great summer camp?
• Why do parents send their kids to camp?
• Why do campers return to summer camp?
• What are the key ingredients to an amazing summer?
• What can spoil a summer experience? How can this be avoided?
• How do staff contribute to a great summer camp?
2) Discuss the five Camp Gorham Elements (Safety, Friendship, Adirondack
Experience, Character Development, Fun) 400-500 words.
• Why do we state our key elements?
• Which is most important to Campers? Parents? Staff? You?
• How can you ensure these happen?
• What role do the elements play in the overall experience?
• At what times should these elements be occurring?
• Is it possible for all elements to be present within one activity?
4