Parents: Please Remember This Is Your Child S Application

COUNSELORS-IN-TRAINING (CIT) PROGRAM APPLICATION

APPLICANT: One of the goals of the CIT program is to help you develop communication skills and self-advocacy. As a first step in this process we expect that you will complete this application independently. We further expect that you will contact your references personally to inform them about the Camp Spectacular CIT program and request a reference.

PARENTS: Please remember this is your child’s application. He or she should complete it independently. This application must be submitted with a camper application and two letters of reference (form attached).

PERSONAL INFORMATION

Camper Name: Home Phone Number:

Address (street, city/state/zip):

Age (as of August 1st): Grade Level Completed (as of August 1st):

ABOUT THE APPLICANT

1. Why do you want to be a CIT?

2. What did you enjoy most/least about attending Camp Spectacular?

Most:

Least:

3. What is some of your related experience (babysitting, scouts, community service, youth groups, volunteer activities, community service, leadership, clubs, team sports, etc)?

4. What special qualities, skills, talents, do you have that will help you as a CIT?

5. What would make you a great CIT?

6. If chosen to be a CIT, what do you hope to have achieved by the end of camp?

ACKNOWLEDGEMENT

In submitting this application, I am confirming that I want to be a Camp Spectacular Counselor-in-Training (CIT). I am further confirming that I am ready for the responsibilities of a CIT. I promise to take my training seriously and to practice what I am being taught to the best of my abilities. I promise to maintain a positive attitude when being taught and mentored by Camp Spectacular staff members. I promise to comply with all rules for the CIT program, Camp Spectacular and The Center for Disability Services. I promise to maintain the highest standards of personal conduct.

I understand that if at any time during my training and mentoring, Camp Spectacular management determines that I am not conducting myself as described above; I may be dismissed from the CIT program.

Applicant Signature: Date:

Parent/Guardian Signature: Date:

COUNSELORS-IN-TRAINING (CIT) REFERENCE FORM

Applicant Name: Date of Request:

APPLICANT: Please submit two references on this form with your application. Please choose a reference who can attest to the qualities you have (character, reputation, abilities) that would make you a great CIT. The reference should not be a relative or family friend. Examples of suitable references are employers, teachers, coaches, guidance counselors, clergy, scout leaders, youth group leaders, etc.

REFERENCE: This individual has applied for the Counselor in Training (CIT) program at Camp Spectacular. We would greatly appreciate your honest and candid evaluation of this individual. Camp Spectacular is a summer day camp for children (9-16 years old) with autism spectrum disorders. This individual must be an excellent role model whom parents would want their children to emulate. Additionally, CIT’s serve as assistant instructors for classes in recreation skill areas such as crafts, music, sports, etc.

If you have any questions, please feel free to contact Dani-Leigh Ross at 518-384-3042 [off-season], 518-399-4759 [summer] or . Thank you for your assistance in helping us choose the best role models for our campers.

Reference Name: Relation to Applicant:

Phone: Email:

Reference Signature: Date:

1. How long and in what capacity have you known the applicant?

2. How well does he/she do in presenting him/herself overall? Is he/she confident, positive, adaptable, etc?

3. Would you recommend him/her for the CIT program?

PLEASE CHECK THE BOX THAT BEST APPLIES TO THE APPLICANT

How extensive has your contact been with this individual?

Daily contact Weekly contact Monthly contact

Is this individual able to work well with many types of people?