Counselor Information

Colorado Heritage Camps for Adoptive Families

Counselor Information

Year after year, children tell us that their counselor was the MOST important part of camp for them! Many of their parents agree! Our counselors are enthusiastic young adults, some adoptees themselves, some not, who have the same ethnic background as the adopted children at each camp. They participate in all of the camp workshops and activities with the kids, but MOST importantly, serve as positive role models for the children and families who attend camp.

Hertiage Camp Counselors & Happy Campers! Though our counselors are solely volunteers, the camp pays for all food and lodging while at camp. If you are applying from out-of-state, it will be up to you to arrange and pay for your own transportation to camp. This experience may also be used as credit toward community service requirements in high school or college courses, and the Executive Director has written many letters of recommendation for counselors applying for scholarship or employment opportunities. Counselors must be 18 years or older to apply.

If you are interested in becoming a Heritage Camp counselor, please submit the following application one month prior to the applicable camp date. The Counselor Coordinator will contact you, if you have been accepted as a counselor, with further details about your role at camp.

Your Information

All fields are required. Do not enter any websites in any fields.

Name:
Age:
Gender:	M F
Grade Level Completed:
ADDRESS (permanent and summer address, if different)
Permanent
Summer
PHONE NUMBER(S)
Home
Work
Pager
E-mail Address
Driver's Licence # and State:

Camp Information

*I am applying as a counselor at the following Heritage Camp(s):

	African/Caribbean Heritage Camp (July 17th-20th)		Filipino Heritage Camp (August 7th-10th)
	Cambodian Heritage Camp (July 17th-20th)		Korean Heritage Camp (June 19th - 22nd)
	Chinese Heritage Camp (August 29th - Sep 1st)		Latin American Heritage Camp (June 26th - 29th)
	Chinese Heritage Camp Too (August 1st-3rd)		Russian Eastern European/Central Asian Heritage Camp (July 24th - 27th)
	Indian/Nepalese Heritage Camp (July 10th-13th)		Vietnamese Heritage Camp (August 7th - 10th)

*Have you been a Heritage Camp counselor before? Yes No

If yes, for which camp(s) and year(s)?

*What age group would you prefer working with? Please rank 1-3 according to your preference:

Childcare (infant-2 years)

Preschool (3-4 years)

Elementary (Kindergarten-5th grade)

Middle School (6th-8th grade)

High School (9th-12th grade)

Please let us know who we can contact in case of emergency, while you are attending a Heritage Camp:

*Emergency Contact:

*Phone Number:

*Relationship to You:

*What experiences do you have working with children? Explain.

*What special talents or interests do you have that may be helpful at camp?

*What is your cultural background and how might that benefit the campers?

Are you an adoptee? If so, how might your experience growing up be beneficial to campers. If not, what experiences do you have that may help you relate to our campers?

*What do you hope your personal experience will be at this camp?

Criminal Background Check Statement and release

In order to protect the safety of our children, volunteers, and all campers, CHC is implementing an updated Criminal Background Check policy. Your cooperation is greatly appreciated to achieve our common goal.

1. Have you ever (in your lifetime) been required to register as a sex offender?
Yes No

2. Have you ever (in your lifetime) committed, entered a guilty plea, entered a no contest plea, entered a deferred sentence, been adjudicated for, or been convicted of any of the following crimes:

Answering yes to any of the questions below does not necessarily disqualify you from volunteering for CHC. Please contact Pam Sweetser, Executive Director at hcamps@juno.com if you need clarification or have questions.

Any sex offense?	Yes No
Assault?	Yes No
Fighting?	Yes No
Any crimes against persons?	Yes No
Any drug related offense?	Yes No
Any alcohol related offense? (including, but not limited to, DUI, DWAI, Minor in Possession of Alcohol)	Yes No
Any theft offense or offense involving fraud or dishonesty?	Yes No

3. I hereby consent to a criminal history and background check, and will complete any necessary consent forms or paperwork to do so.
Yes No

4. I authorize the release of any information that CHC needs to conduct a criminal history and background check.
Yes No

5. I confirm that I shall not allow anyone who is not an approved CHC counselor into any CHC cabin, room, facility, or area.
Yes No

6. I confirm that I shall immediately notify the Camp Directors, if I know of any such person. (Notification may be done anonymously - the Camp Directors will abide by the "no snitch" rule)
Yes No

7. I confirm that I will not invite any CHC camper into any private cabin, room, facility, or area without other adults being present.
Yes No

8. I hereby declare, under penalty of perjury, that the answers I have provided are all true and correct.
Yes No

Answering "no" to any of the above questions 3-8 may disqualify you from acceptance as a CHC counselor.

All fields are required.