Anytown 2025 Counselor Application

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Anytown
Thank you for your interest in being on staff at Anytown!

Anytown Counselors must be between 17-25 years of age. (Applicants between the ages of 23-25 may be asked to serve as Anytown Advisors.)
Throughout the week at Anytown, counselors are expected to be actively engaged by working well with other staff members, teaching songs, planning skits, contributing positively to delegate morale, leading small discussion groups and supporting daily programs.

Full Name





Address






Contact



Additional Information

ex: 19



Date of Birth






Demographic Information
To ensure diversity at Anytown, we ask that you please check any / all of the following that apply to you. (This information is confidential and will be viewed by NCCJ staff only. It will not be used or disclosed for any other purposes.)






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COVID-19 Information

We are not requiring vaccinations for staff members, however we will be attentive to any precautions and safety measures suggested by the CDC for when we go to Anytown. 
I acknowledge and confirm that all information provided in the COVID-19 section of this application is true and complete to the best of my knowledge and agree to comply with all COVID-related requirements for Anytown.








References
Please give the name, email address and phone number of at least one individual (not a relative) who has known you for one year or more.





ex: myname@example.com

Open-Ended Reflection Questions




Training Dates Commitment
You understand that if chosen as staff for Anytown 2025, you are expected to attend ALL staff training as well as ALL days of Anytown. Please place a check mark next to each training date below, for the session you are applying for, to indicate that you can attend staff training.


(If you are interested in serving on Anytown staff but are not available for all training dates, please contact Kelly Dawson at kdawson@nccjtriad.org or 336.272.0359 x 210. We may be able to accommodate your schedule depending on our demographic needs and availability. Priority will be given to applicants that are available for all training dates.)


Disclosure
By signing below, you consent to a criminal background check(s). If there is an issue with this, please contact Kelly Dawson, kdawson@nccjtriad.org.




Parent/Guardian Signature (if applicant is under 18):


By signing below, I give my permission for the young person named above to apply as a Counselor for the Anytown 2025 residential program. I also give my consent for NCCJ to perform a background check on the young person named above.



Application Process Timeline

As part of the application process, applicants may be contacted to schedule an interview with a member of the NCCJ Program Staff. 

Applications must be submitted to the NCCJ office by 12:00PM Friday, February 28.


You will receive an email communication no later than Friday, March 14th with a decision regarding your application.


If you are selected to be an Anytown counselor, confirmation of your acceptance of the position must be received by NCCJ by 5:00 Friday, March 21.


If you have questions regarding this application, please contact Kelly Dawson, kdawson@nccjtriad.org or (336) 272-0359 x 210.

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Personal Information


Note: Staff contact information will not be distributed to delegates. 

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Photo Release
I understand that I, alone or with other participants and/or NCCJ staff, volunteers or representatives, may be interviewed, photographed, recorded on film, audio tape, or other visual and sound computerized, telephonic, voice-mail or tape media ("photographs and/or sound/image recordings") and/or may provide written or oral statements to NCCJ and/or others approved by NCCJ. 

I hereby consent to the foregoing and grant permission, without reservation, to NCCJ and/or those approved by NCCJ to generate, prepare, advertise, describe and/or publicize NCCJ and its work, good will, public education and/or fundraising activities, disseminate, otherwise use and comment upon the photographs and/or sound/image recordings as they may determine, without review by me and without financial or other obligation of any nature to me. 

I consent that I may be identified by name, age or otherwise, as NCCJ and/or those approved by NCCJ may determine.

I release NCCJ, its officers, Board members, volunteers, agents, employees and licensees from all claims that I may have, or might have, for any cause of action arising out of the taking and/or use of the photographs and/or sound/ image recordings as set forth herein.

This consent and release shall continue in effect, without a limitation of time. 


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Anytown Code of Ethics
accept my appointment to the 2025 Anytown Staff. I recognize that this appointment is an honor, and I understand my responsibility to myself, to NCCJ, to my fellow staff members, and to the delegates, and therefore, will put my best self forward. I will follow and enforce all of the guidelines of ANYTOWN. I agree to: 

  • Be present and on time for all activities during the entire week of ANYTOWN
  • Treat all Anytown staff and delegates equally and with respect
  • Obey the law in all aspects of the Anytown program with all parties involved (staff, delegates, etc.). This includes no D.A.W.G.S.S. (drugs, alcohol, weapons, gambling, smoking or sexual activity), no use, unreported witnessing or supply of illegal substances at and after Anytown, or any other activities that may violate Anytown norms or are considered criminal acts under state/federal laws. 
  • Report to the NCCJ Staff if I see any violations of D.A.W.G.S.S.
  • Refrain from using cell phones, other communication devices, headphones, hand-held electronic games, etc., outside of staff quarters.
  • Avoid being alone with minors in secluded areas or any situations that could be considered a violation of professional guidelines
  • Maintain confidentiality at and after Anytown with delegates as well as staff, (except for mandatory reporting).
  • Have no physical (sexual/romantic) relationships with delegates (under the age of 18) at or after Anytown.
  • Avoid criticizing other staff members or the program, especially when delegates are present.
  • Exhibit language and behavior that is consistent with the ideals of Anytown.
  • Be prepared for discussion cabin group conversations and workshops by studying materials in advance.
  • Maintain that delegates' Anytown experience is most important and supersedes my own needs.
  • Staff members are prohibited from making use of or reproducing NCCJ’s curricula or supplementary material for any purpose other than rendering service to NCCJ.
  • HAVE FUN AND SPREAD 'THE ANYTOWN SPIRIT!'


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Anytown Bullying Policy

Anytown Bullying Policy


At Anytown, we have a firm policy against all types of bullying. Everyone in the program is expected to treat each other with respect. This includes delegates (campers), volunteers, and NCCJ staff members. Our Anytown staff has been trained to recognize all incidents of bullying and take them seriously. We promote respectful communication between staff and delegates and work together as a team to ensure that each delegate has a wonderful and safe experience at Anytown.

What is Bullying?


Bullying is aggressive behavior that is intentional, is repeated over time, and involves an imbalance of power or strength. Bullying can take on various forms, including:

  • Physical bullying – when one person engages in physical force against another person, such as by hitting, punching, pushing, kicking, pinching, or restraining another.     
  • Verbal bullying – when someone uses their words to hurt another, such as by belittling or calling another a hurtful name.
  • Nonverbal or relational bullying – when one person manipulates a relationship or desired relationship to harm another person. This can include social exclusion, friendship manipulation, or gossip. This type of bullying also includes intimidating another person by using gestures.
  • Hazing – an activity expected of someone joining or participating in a group that humiliates, degrades, abuses, or endangers that person regardless of that person’s willingness to participate.
  • Sexualized bullying – when bullying involves behaviors that are sexual in nature. Examples of sexualized bullying behaviors include sexting, bullying that involves exposures of private body parts, and verbal bullying involving sexualized language or innuendos.

Anyone who sees an act of bullying, and/or who then encourages it, is engaging in bullying. This policy applies to all employees, contractors, and volunteers.


Bullying may show up as:

  •         Teasing
  •         Name calling
  •         Excluding others
  •         Rumors 
  •         Ganging up
  •         Intentionally disrupting programs and activities
  •         Mocking or taunting

What’s the Impact?

The bullying behavior has a negative impact emotionally, spiritually, or physically on the target/victim. 


Discipline Procedures


If a delegate does not follow Anytown’s community agreements, we will take the following action steps as behavior problems progress:

  1. Staff will redirect the delegate to more appropriate behavior.
  2. If inappropriate behavior continues, the delegate will be reminded of the first warning they received. NCCJ staff will work with the student to decide on appropriate action steps. A phone call home may occur at this point if staff and/or student feel like this is necessary or could be helpful.
  3. If a delegate’s behavior continues the delegate’s guardians will be notified, or the delegate may be dismissed from camp.

*Bullying incidents and action steps will be documented by NCCJ staff.


If a delegate is participating in bullying activities, the delegate’s parent or guardian can be called and asked to come and pick up their child immediately, regardless of the time of day or day of the week.

 

If a delegate, volunteer, or parent has questions or concerns about bullying, they are encouraged to reach out to NCCJ Staff or Anytown volunteer staff.


By signing below I acknowledge that I have read, understood, and agree to the bullying policy above.