Anytown 2026 Counselor Application

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

Anytown Counselors must be between 16-25 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.

Please check the statements which apply to you. Remember you must attend the full week. I am applying to the following session of Anytown.

Session I: June 14-19, 2026 (arrive Friday, June 12 for on-site staff training)Session II: July 12-17, 2026 (arrive Friday, July 10 for on-site staff training)I can attend either session. (Availability for both sessions increases the likelihood that we can find a spot for you on the Anytown staff.)

Full Name

First Name

Middle Name

Last Name

Pronouns

What do you like to be called?

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Contact

Email

Cell Phone Area Code (please put parentheses around numbers ex: (336))

Cell Phone Phone Number (please put a dash between 3rd and 4th number ex: 314-8586)

Additional Information

Current Age

ex: 19

Have you graduated from high school yet?

YesNoIt's complicated (Please explain below.)

Explain here:

T-Shirt Size

Date of Birth

Month

Day

Year

Current School and class year (if applicable)

Do you speak a language other than English? (specify)

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Personal Information

I grant permission for my name, phone number, and email address to be distributed to other Anytown staff members. I do not grant permission for my name, phone number, and email address to be distributed to other Anytown staff members.

Electronic Signature

Parent/Guardian Signature (if under 18)

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.

Important Note About Photos:
Photos and videos are an important way NCCJ shares the Anytown experience, especially through social media and printed materials. Most of our photos capture group activities rather than individual portraits. We are mindful to use images in ways that reflect the positive, respectful, and inclusive spirit of our programs.

We will never use a person’s image in a major marketing campaign (such as billboards or TV ads) without getting additional permission. We do not publish full names alongside images.
If you cannot be photographed or recorded, please contact Kelly Dawson at kdawson@nccjtriad.org or 336.272.0359 x 210 before the program begins. We will work directly with you to make accommodations and set expectations prior to your arrival.

Click here to acknowledge photo release:

Electronic Signature

Parent/Guardian Signature (if under 18)

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Anytown Code of Ethics

I accept my appointment to the 2026 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!'

Electronic Signature

Parent/Guardian Signature (if under 18)

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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:

Staff will redirect the delegate to more appropriate behavior.
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.
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.

Electronic Signature

Parent/Guardian Signature (if under 18)