Teen Vision Application

The Teen Vision Experience will cover two weeks at camp.

Teen Vision Training: Session 3: July 14^th to July 19^thTeen Vision Leadership: Session 4: July 21^st to July 26^th

The acceptance fee for the Teen Vision Leadership Program is: $425.00

**Special Note**Teen Vision participants are also encouraged but not required to attend Session 6 designed for 16-18 year old campers. The Session 6 is an opportunity for you to enjoy camp as a “camper” with friends your age. The additional cost for the Senior Teen Session is $425.00. After completing this application, have your parent or legal guardian go to the “camp registration page.” Please register for Session 6 (August 4 to August 9) using the traditional Guggenheim registration form.

First Name:(*)

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Last Name:(*)

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Street:(*)

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City:(*)

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State

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Zip

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Phone

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Cell Phone:

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Date of Birth:

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Age at camp:

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Name(s) of Parents/Guardians that you reside with:

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E-mail:

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Name of School:

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Teen Vision participants are also encouraged to attend Session 6. If you are interested in doing so, please have your parent or legal guardian register for Session 6 using the traditional Guggenheim registration form! Session 6 fees must be paid in addition to the cost of Teen Vision.

Remember to register early! Please write a letter expressing your interest in the Teen Vision program. Include why you would like to be part of Teen Vision and what you hope to get out of the experience

Please write a letter expressing your interest in the Teen Vision program. Include why you would like to be part of Teen Vision and what you hope to get out of the experience.

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Please also answer the following questions to help us get to know you a little bit better

What parish do you belong to:

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Pastor:

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What do you like best about your parish:

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Where are you already (or where would you most like to be), of service in your parish:

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List experiences that you have had in Church, School and Community activities that will contribute to your ability to make a positive contribution to Camp Guggenheim as a Teen Vision participant:

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Week/Year(s) That You’ve Previously Attended Camp Guggenheim:

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Year(s) that you have experienced Youth Summit OR Leadership Weekend(s):

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List a few of your favorite camp memories:

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Teen Vision will introduce you to all program areas at camp, and you’ll also have an opportunity to lead some afternoon activities, with a staff member present to support you. Brainstorm a few afternoon activities that you think it would be really great for you (or someone else) to offer at Camp Guggenheim. Remember afternoon activities last for about an hour and 15 minutes each afternoon and they are offered to serve the special interests of the campers while offering staff members (and the Teen Vision team) a chance to share their individual gifts and talents.

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Would you be available to share your experiences and skills learned during Teen Vision at events throughout the year if invited?

Leadership Weekend at Camp Guggenheim:

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Please choose the events you attended this last year:

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Additional Information that you’d like us to consider when reviewing your application:

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References (3)…Please include the names and addresses of people who are familiar with your ability to work with other teens and adults (other than your pastor). Name, Address, Phone Number, Position

1st Reference:

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2nd Reference:

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3rd Reference:

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NOTIFICATION AND AGREEMENT I certify that all answers given by me are true, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts on this application (or any other accompanying documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. It is the policy of the Diocese of Ogdensburg to afford equal opportunity to all employees and applicants for employment without regard to age, race, color, sex, national origin, marital status, disability, veteran status, religion (except when deemed necessary to fulfill job obligations of the Diocese of Ogdensburg) or any other status protected by law. I understand that if offered a position with the Diocese of Ogdensburg, I will be required to submit a background check as condition of employment. As set forth in Canon Law and the code of Pastoral Conduct of the Diocese (Section 6), the Diocese and any agencies employed by it will maintain confidentiality in creating, storing, accessing, transferring and disposing of background checks authorized by this document and all reports, papers and information relating to such background checks. The Diocese will use all information obtained for no purpose other than conducting background checks on the undersigned. Questions regarding this statement should be directed to the employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed. By signing below I acknowledge that I have read, understood and agree to the above statements.

Policies:(*)

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Todays Date:(*)

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Person Applying (full name):(*)

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(By typing your full name in the Person Applying Box above you certify that everything you entered in this form is true and that you understand what is being asked of you.)

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Diocese of Ogdensburg

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