READ BEFORE STARTING THE APPLICATION! 1. We are now mobile friendly, so feel free to register from your favorite device (smartphone, tablet, etc). 2. For the best registration experience we recommend you use Chrome or Safari. 3. Please have an uploadable copy of your resume(.pdf format) and an uploadble copy of your birth certificate or passport available prior to filling out this form. The form can only be submitted when all required fields are filled. 4. Please note that this application is in two parts. Both Parts must be submitted by by the deadlines posted on the website in order to be considered for a counselor role for Vraj Camps. 5. You must be able to attend the camp for the entire duration. 6. It is required that you attend the Camp Workshop. 7. You must be open to take on ANY responsibilities requested. 8. All submitted information is stored on a secure website. For more information on counselor registration please contact counselorreg@vrajyouth.net Counselor InformationThis field is hidden when viewing the formPart II Due DateThis field is hidden when viewing the formApplication Decision NotificationThis field is hidden when viewing the formMedical Clearance DueThis field is hidden when viewing the formCounselor WorkshopThis field is hidden when viewing the formApplication Withdrawal DateCounselor Email*Only one submission per email address is allowed. Please make sure that the form is filled accurately before submitting. Enter Email Confirm Email Counselor Name* First Middle Last Gender* Male Female Are you over 18 years old?*NYNumber of year(s) attended camp as a camper and/or counselor*None1-3 years4-7 years8-10 years10+ yearsIs this your first year as a counselor?* Yes No Date of Birth*From the dropdown, pick year, month, date in that order. MM slash DD slash YYYY Pick camp you are requesting to enroll in:*– Fill Out Other Fields –New Counselor AddendumPlease answer the following questions:What do you think are the top 3 attributes a Vraj Youth counselor should have? Different phrasing: what do you think defines a “good” counselor?*How would you handle a scenario where you notice a camper getting bullied or always alone? Different phrasing: If your camper(s) are not participating, what things would you do to encourage them to be involved?*If there is one lasting impact you want to leave with your campers this year, what would it be?*What do you hope to gain out of being a Vraj counselor?*Explain your approach to being a team member and how you will apply it as a Vraj counselor.*Number of years(s) attended as a counselor*Returning Counselor AddendumWhat do you think are the top 3 attributes a Vraj Youth counselor should have? Different phrasing: what do you think defines a “good” counselor?*How would you handle a scenario where you notice a camper getting bullied or always alone? Different phrasing: If your camper(s) are not participating, what things would you do to encourage them to be involved?*After 2 years off from in-person camp, how will you help to make sure camp runs as smoothly as it used to? What hurdles do you think will need to be overcome?*Reflecting on your past experience as a counselor, what is one thing you think you did well, and one thing you'd improve upon?*Upload a copy of the Birth Certificate or Passport*A copy of the Driver's License is not accepted.Max. file size: 2 MB.Home Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact Phone*Interested in following activities*Check your preference for each activity. Depending on the camp's need, you may be assigned different activities from what you may have selected.Strongly interestedCan perform if assignedNot interested at allCamp DJSports LeadTech LeadFinal Day Presentation CreationFirst Aid (Only pick if you are 18+ yrs. age)Resume*Please upload your resume (pdf format only and limited to one page). Accepted file types: pdf, Max. file size: 5 MB.Have you had First-Aid and/or CPR (Cardiopulmonary Resuscitation) training?* Yes No Are you a trained or certified EMT?* Yes No T-Shirt Size*SMLXLXXLParent Contact InformationParent will receive Part II to provide Health Information and Parent consent.Parent/Guardian Name* First Last Parent/Guardian Phone Number*Parent/Guardian Email* Supplemental ApplicationWhat is one piece of advice you would give to a first year counselor?*Are you interested in being Head Counselor?*Please note the following criterion is taken into consideration in selecting a strong candidate for Head Counselor position: 1. Multiple years experience is preferred 2. Experience counseling older and younger campers is preferred 3. Must have held at least one e-board position in school 4. Prior Year Ratings by Director and HC 5. Strength of HC Addendum 6. Strength of Phone Interview Yes No Head Counselor AddendumThe following must be completed in order to be considered for a Head Counselor position.Why do you want to be a Head Counselor?*What are 3 qualities you believe an exceptional Head Counselor should have and why?*Reflect on a previous leadership experience you held outside of Vraj that required you to utilize any of the qualities you mentioned above.*You are selected as Head Counselor, a few of your closest friends are also counselors in the camp. They ask if they can keep their phones longer than the allotted time. How do you handle the situation.*A group of counselors are not completing their assigned tasks. These counselors are also part of a fraternity/sorority ( including a position on the E-board) that you are interested in joining. How would you address the situation* PaymentDonate registration fee to VYC?* Yes No Registration FeeThe $50 fee will be refunded once you attend camp for a week. You can choose to donate the fees to VYC/Vraj. Price: Total Registration Fee $0.00 Credit CardCard Details Cardholder Name Signature* First Last PhoneThis field is for validation purposes and should be left unchanged. Δ