Ocean Community YMCA

Name *

Email *

Home Phone

Cell Phone

Address *

Address Line 2

City *

State *

Zip Code *

Country

How did you hear about Camp Watchaug? *

On-line Search

Friend

I was a camper

Other

Please provide details regarding above.

If a friend, Who? If you were a camper, when? If you checked other, please explain,

RECOMMENDATIONS

TWO typed and signed recommendations must be included with your application for this program. Recommendations can come from teachers, religious leaders, coaches, club leaders and school advisers. Please make sure their contact information is on the letter. You may attach them below OR mail to Camp Watchaug Camp Director, 95 High Street, Westerly, RI 02891 OR fax to 401-596-8675 , ATTENTION Camp Watchaug Director OR email to campwatchaug @oceancommunityymca.org. Your application will not be considered until these letters are received.

Attach Recommendation

Maximum upload size: 12.58MB

Attach Recommendation

Maximum upload size: 12.58MB

EDUCATION

Current Grade in School *

You MUST currently be in 9th grade, entering 10th grade in the fall.

Name of Current School *

ACTIVITY SKILLS AND ABILITIES

Click 1 for activities that you can organize and teach as an expert; 2 for activities that you can confidently assist teaching; 3 for activities which you have some personal experience; and leave blank activities you have no experience or expertise.

Swimming

Kayaking

Sailing

Canoeing

Rowing

Waterskiing/Towing

Basketball

Volleyball

Ga Ga

Kickball

Soft Ball

Soccer

Group Games

Archery

Climbing Wall

High Ropes/Zip Line

Low Ropes/Challenge Course

Fire Building

Outdoor Cooking

Nature Study

Arts & Crafts

Camp Songs

Drama/Skits

Guitar

Magic

Photography

Video

OTHER ACTVITY SKILLS

Please list any other activities you would like to assist with at camp.

NARRATIVE

1. Tell us about your favorite hobbies, activities you are involved in at school or in the community, any special trainings and/or and leadership experience. *

2. Please list and describe any Employment or Volunteer Experience that you have had.

3. In what ways do you think you will benefit from YMCA Camp Watchaug’s CIT program? *

4. Define what being a positive role model means to you. Include an example of someone who is a positive role model and why this person fits your definition. *

5. What are the most important contributions you can make to camp? To a child? *

6. If you were working with a group of campers, how would you promote mutual respect and acceptance of everyone?

IMPORTANT INFORMATION

Upon receipt of your application, you will be contacted for an interview. Payment and camper registration form will be due if accepted into the CIT program.

I certify that I have read all of the above and that the information provided on this application is true, complete and correct. *

Yes

Parent/Guardian Name *

I certify that I am a legal parent/guardain of the applicant and this application has been made with my approval. *

Yes

Please add any comments or list any questions that you have.

Thank you for your interest in the CIT program as well as your enthusiasm toward building your own future as a leader at Camp Watchaug and in your community.