La Vida Center for Outdoor Education & Leadership
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Application

Thank you for your interest in being a junior counselor for La Vida Adventure Camp. The junior counselor position is an incredible way to invest in middle school students and grow in your own leadership.

Application Deadline: March 16, 2012

PLEASE NOTE: The application below has a 20 minute timeout period and answers will be erased after 20 minutes. We suggest answering the questions in a Word document before pasting the answers into this application.

After submitting this application, have three references fill out reference forms. Returning junior counselors do not need to turn in any recommendation forms. Once your application and references have been completed and sent to the La Vida office, the director will set up an interview with you. If you have questions about the junior counselor program, please call 978.867.4111.

Junior Counselor Application 2012

1. I understand that this application page expires and all answers will be erased after 20 minutes. (We suggest writing the short answer responses in a Word document and pasting your answers into this application).

Yes
No

2. Name (last, first, middle initial)

3. Date of Birth

4. Address, City and Zip Code

5. Home Phone

6. Cell Phone

7. Email Address

8. Parent/Guardian Email Address

9. Current Year in School

10. Years you have attended La Vida Adventure Camp

11. Have you participated in the Adirondack Leadership Program (ALP)?

12. Junior Counselors can sign up for two-week periods. Mark which weeks you are available to be a junior counselor.

June 21-23: Required Training
June 25-29 and July 2-6: Week 1 and 2
July 9-13 and July 16-20: Week 3 and 4
July 23-27 and July 30-August 3: Week 5 and 6

13. Employment Background (Include employer, position, dates, contact person, phone and if we may contact)

14. List any Trainings or Certifications (Include First Aid, CPR, LIfeguarding, etc. and expiration dates)

15. Have you had any leadership/other experiences that will help you work well as a junior counselor? If so, describe how these experiences relate to being a junior counselor.

16. Select which activities you feel comfortable assisting in or would like to learn to do this summer.

Leading Games
Belaying at the La Vida rock gym
Mountain Biking
Canoeing
Kayaking
Leading Small Groups of Campers
Photography
Building and Property Projects
None of the above

17. What has been your past experience with La Vida? What did you learn from that experience?

18. What are the main reasons you want to volunteer with La Vida Adventure Camp? Why do you want to work with 11-13 year-olds?

19. If you could have a camper leave with one thing to remember or have learned, what would it be and why?

20. How would others describe you in 3-5 words. How would you describe yourself?

21. La Vida college-age staff are intentional about living out their Christian faith in God. We spend time each morning learning what it means to love God and love others. What does faith mean to you? Are you open to exploring issues of faith with others? What church or faith background do you have? (No experience or past Christian background is needed to be a junior counselor.)

22. Reference 1: Name, Address, Phone Number and Relationship

23. Reference 2: Name, Address, Phone Number and Relationship

24. Reference 3: Name, Address, Phone Number and Relationship

25. I understand that I need to have three reference forms submitted online in order for this application to be complete. The information I have provided is true and accurate.

Yes
No