COUNSELOR IN TRAINING PROGRAM APPLICATION Dear CIT

COUNSELOR IN TRAINING PROGRAM APPLICATION
Dear CIT Applicant,
Thank you for your interest in the Moose Jaw YMCA’s Counselor-in-Training program. (CIT) This program is an
opportunity for you to take on responsibilities, learn new skills, be a leader and have fun! Your interest in participating in
the program speaks well of your character and we look forward to meeting you. In this one week program you will focus
on developing leadership and team skills that can be easily applied into all facets of your life! Get ready to participate in
team building activities, group initiatives, active games & sports, and be involved in a group initiated community project.
You will be introduced to all aspects of the camp program, and our seasoned camp staff will help prepare you for your
next leadership experience as a C.I.T! Some of the objectives of this program include goal setting, developing a sense of
community, learning about group facilitation and incorporating the YMCA core values into your lifestyle. Youth will also
have the opportunity to participate in traditional camp activities- swimming, canoeing , archery crafts and so much
more!
Being a CIT at the Moose Jaw YMCA is a challenging and rewarding experience. Your days as a CIT will be spent with a
wide array of activities. It is important to understand that being a CIT is a large responsibility. Be sure that you are willing
and prepared to meet the challenges presented by this position. Use the application to tell us why you are the right
person for this role. Please remember:
1. A CIT must be willing to participate with enthusiasm; participation and enthusiasm are a part of leadership.
2. A CIT must come to camp prepared - prepared to work with counselors, YMCA staff and campers, to learn new skills,
and to bring a positive attitude.
3. A CIT is a role model for participants and is held to higher behavioral standards than participants; we expect CIT’s to
be mature in their actions and words.
4. A CIT must be at least 12 years old but not older than 14 years of age
If you think you’re ready to take on the challenge of being a CIT then it’s time to fill out your application and return it to
the School Age Program Manager
Thank you again for your interest in becoming a CIT. If you have any questions, please feel free to contact me at 306692-5448 or [email protected] .
Corinne Damaskie
Manager of School Age care
COUNSELOR IN TRAINING PROGRAM APPLICATION FORM
Please fill in the information below and use this form as a cover to your application.
__________________________________________________________________________
FIRST NAME
__________________________________________________________________________
LAST NAME
____________________________________________________________________________________
NAME OF SCHOOL
_____________________________________________________________________________________
STREET ADDRESS
______________________________
CITY
_________
PROVINCE
___________________________________
HOME PHONE:
Birthdate
______/______/_____
Year
/ Month /
___________________
POSTAL CODE
________________________________
CELL PHONE
Age_______
Male⁮ Female
Day
(Circle One)
Email Address ___________________________________________________________
Mother’s/Guardian’s Name (first) _______________________________ (last) ________________________
Cell Phone: _______________________
Work Phone___________________
Father’s/Guardian’s Name (first) __________________________________ (last) ________________________
Cell Phone: _______________________
Age as of June 30, 2014: ___________
Work Phone___________________
GENDER:
□Male or
□ Female
PLEASE ANSWER THE FOLLOWING QUESTIONS
1. Explain why you are interested in participating in the CIT program?
2. List and describe any volunteer and/or work experience you’ve had. (ex. babysitting, volunteering, school clubs, etc.)
3. What personal qualities and/or talents can you share with the YMCA as a CIT?
4. How do you spend your spare time? (include any extra-curricular activities)
5. What areas at the YMCA are you most interested in learning? (see brochure for list)
6. Describe a person or activity that has a positive influence on your life.
___________________________________________________________
CIT Signature:
__________________________
Date:
___________________________________________________________
Parent/Guardian Signature:
__________________________
Date:
OFFICE USE ONLY
Date Received:
Interviewed:
Accepted Declined

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