Dfw community Youth Leadership Camp 青少年領導才能營 Theme: Passion



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  • 2017 CYLC

DFW Community Youth Leadership Camp
青少年領導才能營
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Theme: Passion
主題：熱情
主辦單位

Hai-Hwa Foundation Community Youth Leadership Club (CYLC)

協辦單位


美華協會達福分會 Organization of Chinese American (OCA-DFW)

中國工程師學會 Chinese Institute of Engineer(CIE/USA-DFW)


TAMU / Commerce, Texas

7/24 – 7/29/2017

2017 CYLC Youth Leadership Camp
CYLC Mission Statement

To provide direction, leadership and guidance while building confidence through enhancing communication and team building skills in aspiring Chinese American youth.  To prepare young Chinese American leaders for the mainstream community and reinforce their pride in being Chinese American.


CYLC Camp Objective

To provide the youth a safe environment to build friendships, cooperation techniques, and social skills. Through group activities, campers should learn self discipline and communication skills to empower them to take responsibility for their behavior. To encourage campers to creatively express themselves, to learn accountability, trust, and how to solve conflicts and collaborate with peers. To strengthen their confidence in goal setting and decision making through camp activities and team-building exercises.


CYLC dates: July 24 (Monday) to July 29 (Saturday), 2017

CYLC location: TAMU – Commerce, Texas.

Activities: Leadership Training – Self awareness, personal characteristic analysis, team building, brainstorming, project designing, presentation skills, communication models, result evaluation, a thorough series of leadership courses and activities.

Group Activities – Leadership workshop, team games, filming, etiquette, physical activities, dance, music, arts and crafts, swimming, and talent show

Cultural Programs – Chinese arts and crafts, dance, and culture classes

Registration: We take 400 campers on first-come first-accept basis.

  1. Online registration by assigned age group day and receives application confirmation number.

  2. Camp administrator will send email for acceptance announcement.

  3. Fill out the application form and waiver form.

  4. Attach a copy of your medical insurance card front and back and prove of birthday.

  5. Include a check for $540 camp fee. Make checks payable to CYLC.


Mail in forms/check after acceptance confirmation:

CYLC, PO Box 868156, Plano, TX 75086 (Post Mark before 2/10/2017)

Notice:

Any incomplete registration form will not be accepted. CYLC will not take responsibility for a delayed registration which results in a disqualified application. Please enter the correct information and complete the application.

Please check carefully before submitting registration.



mc900432658[1] 1. Application Form (Include counselor application if you wish to apply, essay/resume can be submitted before 2/28)

mc900432658[1] 2. Health Insurance Copy (copy of insurance card front and back)

mc900432658[1] 3. Online Application Confirmation Page

mc900432658[1] 4. Signed Medical Release Form & Activity Permission Slip

mc900432658[1] 5. Camp Rules Form: Please carefully read the Camp Rules. Parent and camper must agree and both must sign the camp rules and return it with the application form.

mc900432658[1] 6. Camp fee $540.00 Check payable to CYLC by money order or personal check. A Bounced Check will disqualify the applicant and the registration will be invalid. You will be responsible for all returned checks fees for our bank and yours. Write the applicant’s name on the check.

mc900432658[1] 7. TAMU Waiver Form



mc900432658[1]8. Counselor application form has to submit with Camp acceptance package after the online application acceptance if want to apply for counselor. Counselor required resume, essay, and code of conduct are due on 2/28 (Post Mark or online) for qualification of interview schedule. Counselor interview: 4/1 Saturday and 4/2 Sunday 8:00AM – 6:00PM

No walk-ins on counselor interview day. Individual interview time will be notified by e-mail.



  1. CYLC will random check birth certificate/passport to verify the birthday.

  2. CYLC will send out a letter for directions, camper luggage requirements, and preparation instructions one week before the camp starts in July.

  3. CYLC provides transportation on 7/24 8:00AM from Plano to camp, but parents are responsible for picking up the camper on 7/29 at TAMU after final performance.


Website: www.cylc-dfw.org Facebook: CYLC logo-blackonblock[1]

Contact Email: cylc1shannonchen@gmail.com

CYLC, PO Box 868156, Plano, TX 75086


2017 CYLC Youth Leadership Camp


Camp date：7/24-7/29 six days five nights

Camp location： TAMU - Commerce, Texas



Age： At least 10 years old (by 8/31/17)


For Office Use Only

Class

Student #

Room #

2017 CYLC Registration Form

CHINESE NAME:      

AGE:       GENDER:      

ENGLISH NAME:      

BIRTHDAY:      

CURRENT GRADE: 4 5 6 7  8 9 10 11 12

The current grade for Spring semester of 2017

Height: ft in Weight: lbs (For Costume Reference)

ADDRESS:      

(include apt. #, city, state & zip Code)

PARENT(S) NAME

Father:      

Mother:      

TEL (Home):      

Father (Cell):      

Mother (Cell):     

E-mail #1:

E-mail #2:

UNIFORM SIZE: Child  L  M Adult  XL  L  M  S

EMERGENCY CONTACT：NAME:       TEL:      

RELATIONSHIP:      

ROOM MATE: (Please remind the roommate to submit the application at the same time)

CHINESE NAME:       ENGLISH NAME:      

STUDENT

E-MAIL ADDRESS:      

HEALTH INFORMATION

MEDICAL INSURANCE

INSURANCE CO：     

INSURANCE #：     

ALLERGY

MEDICINE：     

FOOD：     

HEALTH

 GOOD Special Care:        ADD with medication

Others：Make check payable to: CYLC. Each applicant has one check with name on check

Refund in special cases must be submitted with written request

  1. $50 registration fee is non-refundable

  2. Refund with $50 deduction before 3/31/17

  3. Half refund with $50 deduction before 4/30/17. No refund after 5/1/17

For Office Use Only

Camp fee $540.00 (Includes $50 non-refundable registration fee)

Check #       Received Date:


Notice：Please fill in all blanks. Incomplete forms will not be accepted. CYLC reserves the right to deny applications for providing false information and expel campers who have behavior problems or violate CYLC camp rules. Please make sure the roommate also submits the application form at the same time.
2017 CYLC Youth Leadership Camp
Medical Release Form
This is to certify that I grant permission for my dependent child,            , (Date of birth at _____________) to receive medical treatment by University physicians, while attending CYLC summer camp at the TAMU-Commerce, Texas. I further authorize treatment at local hospitals by physicians at those facilities, should such treatment be required. I understand that I will be responsible for any and all medical charges or fees.
SIGNED:       DATE:      

PHONE: Father (M)       Mother (M)      

Email: Father ___________________ Mother ______________________________

My medical insurance company is      

Medical Provider Phone:      

My policy number is:      



(Please attach a copy of the medical insurance card)
Activity Permission slip
My child       has my permission to take the transportation provided by 2017 CYLC summer camp from Asia World to TAMU, Commerce Texas.
My child       has my permission to participate in all water activities in the 2017 CYLC summer camp at TAMU, Commerce Texas.
I give my permission to 2017 CYLC to make or use pictures, slides, digital images, or other reproductions of my child ___________________________.
The undersigned as legal guardian of the student do hereby grant to the staff of the CYLC summer camp in my absence, the authority to render judgment concerning medical assistance in the event of an accident. I do not hold the CYLC summer camp, its teachers, staff, or school responsible for any and all injuries occurred during the activities provided by the CYLC summer camp, and I so signify by signature below:

SIGNED:       DATE:      _____________

2017 CYLC Camp Rules
General Rules:

  • The camp director reserves the right to reprimand any violators.

  • Follow TAMU Campus policies. Follow instructions given by camp staff.

  • Be prompt and present at all scheduled camp activities.

  • Stay within the campsite or assigned places. Absolutely no one leaves from the camp without the written consent of the camp staff.

  • Wear the camp provided T-shirt at all times. No alterations of or markings on T-shirts are allowed. The dress code is the same as PISD regulation.

  • Smoking, consumption of alcoholic beverages, and drug use are strictly prohibited.

  • Absolutely no gambling, fighting, or carrying of dangerous objects (such as fireworks, firearms, knives, match, etc.) is allowed.

  • In case of an emergency you must report to the staff immediately.

  • All trash must to be disposed of properly.

  • No gum chewing is allowed at this camp. No handheld games allowed.

Dormitory Rules:

  • Keep room and facilities clean and tidy. Adult camp staff will conduct daily inspections. A warning will be issued for violations.

  • Curfew is strictly observed, and adult staff will conduct room checks after 10 PM.

  • No visitations by campers of the opposite sex are permitted.

  • Absolutely no room switching.

  • Be considerate. Do not create noise. No phone calls after 10:00 PM.

Classroom Building Rules:

  • Maintain order. Follow teacher instructions and show good manners.

  • Do not create noise in the hallways.

  • Keep classrooms clean. No cell phone usage during class time.

Dining Hall Rules:

  • Stay in line to receive food. Be courteous and helpful to younger campers.

  • Only take what you can eat and eat what you take.

  • Keep the dining hall absolutely clean.

Check Out Rules:

  • Parents will be responsible for picking up their camper who becomes ill, or is injured, or has problems adjusting to group life, or violates camp rules and is dismissed by the camp authorities.

  • Except for the above conditions, no early dismissal is allowed. All campers are required to attend the closing ceremony.

  • Parents will be liable for any facility or property damages caused by their child.

By signing below, I the camper, and my parents, agree to the rules above. I agree to obey them fully.

           

Camper’s Signature Date
                 

Parent or Guardian’s Name Parent or Guardian’s Signature Date

(Please print name)



2017 CYLC Counselor/Assistant Counselor

Application Information
1. Scholarship: Amount to be decided by the Committee.

2. Requirements:



  1. Teacher Assistant - College student.

  2. Counselor - At least sixteen years old by Aug. 31, 2017

  3. Assistant Counselor - At least fifteen years old by Aug. 31, 2017

  4. Accepted by the CYLC Committee after interview and evaluation.

  5. Head counselor - Has prior camp serving experience or has received formal leadership training.

  6. Must attend CYLC Junior Leadership Seminar on May 13 and CYLC Leadership Training on June 24, 25, July 8, 9, July 15, 16, (excused absent such as family vacation, other activity and medical/dental rest no more than 2 days by prior notification). CYLC expects full participation of all physical activities during training sessions.

  7. Perform duties according to the following job description during camp 7/24-7/29.

  8. The Disciplinary Committee Director reserves the right to award scholarships to Counselors and Assistant Counselors

3. Job Description:

1) Teacher Assistant (TA) – Teaching support


  • Email applies before 5/1/2017. CYLC holds the final decision on TA selection.

  • Assist teachers and act as substitute teacher when necessary.

  • Support C/AC for team activities.

  • Consult with Camp Director and Camp Consultants.

2) Counselor - Report to HC/Camp Director/Teachers for duties and assignments.

  • Assist campers’ arrival, move-in and departure.

  • Observe campers’ daily activities and conducts. Report any irregular behavior to the Head Counselor and teachers immediately.

  • Direct campers to scheduled classes and activities punctually, being vigilant of campers’ safety, discipline and attendance.

  • Lead campers’ group activities and coordinate Assistant Counselors’ job assignments.

  • Attend nightly review meeting.

3) Assistant Counselor (AC) - Report to Counselors for duties and assignments.

  • Attend classes on time like all other campers.

  • Collect and distribute camp uniforms every night.

  • Assist campers to follow scheduled activities such as dining, studying, taking recess and other activities in a timely manner.

  • Keep dorm, classrooms, and dining hall tidy and orderly.

TAs, Counselors and ACs must follow all policies, regulations, and the training schedule of CYLC leadership camp. You are also required to demonstrate a high standard of self-discipline in your personal conduct and all social interactions. Any misconduct will result in immediate termination of duties and/or scholarship, or possible dismissal from camp. Signed Code of Conduct Agreement by parents and C/AC are required if selected.



2017 CYLC Youth Leadership Camp


2x2

Headshot

Photo



Counselor/Assistant Counselor

Application Form

Name (Chinese)       Date of Birth      

Name (English)       Sex:  M  F Age:       Grade:      
Address:      

     

Applicant Cell:       E-Mail:       Fax:      


*Most recent camp experience:       Year      

*If you are chosen to be a Counselor/Assistant Counselor, which group would you like to work with? Circle or Check one: 10-11 11-12  12-13 14-15


1. Why do you want to be a Counselor/AC at CYLC summer camp?      
2. Please list your special talents:     
3. Describe your skill levels for movie editing and photo shooting:
Please note: Attending CYLC summer camp training is required for Counselors/Assistant Counselors on June 24, 25, July 8, 9, July 15, 16, (Excused absence no more than 2 days)

Signed agreement by parents and C/AC are required if selected. Unexcused absences from training will result in dismissal from the position.
Interview Information:

Date: April 1 & 2, 2017 Saturday & Sunday 8:00AM - 6:00PM (Scheduled interview time will be notified)

Place: Will be notified with interview schedule


  • Registration forms (both camp & C/AC application form received by 2/10), resume, code of conduct and proposal must be received by 2/28. Otherwise, your application will be disqualified.

  • Proposal: Why is “Passion” meaningful to you and how can you apply it to your leadership?

  • For questions, please contact

E-mail: cylc1shannonchen@gmail.com

________________________________________________________________________

For Committee Use Only

Class       Counselor       Assistant Counselor      Comment:      

2017 CYLC Youth Leadership Camp

Counselor / Assistant Counselor Code of Conduct Agreement
I, , as a CYLC selected counselor / assistant counselor, will follow all CYLC policies, camp rules, and codes of conduct during CYLC training and the camp period from April to August 2017.
I will:

  1. Demonstrate a high standard of self-discipline in personal conduct and social interactions.

  2. Ensure to attend the counselor training as agreed schedule below.

  3. Attend team meetings and complete team assignments.

  4. Make up works for absence days.

  5. Observe and follow all environmental, health, and traffic safety rules.

I will attend C/AC training on the days I checked below. I am aware that only two excused days of absence are allowed.



5/13, JLS*

6/24

6/25

7/8

7/9

7/15

7/16






















*5/14 Junior Leadership Program (C/AC meet and greet session, please reserve the whole day)
Please list all other camps or activities you will attend during June-July period other than CYLC.

Activity Name













Date












I understand that any misconduct or unexcused absence of C/AC training or scheduled team meetings will result in immediate termination of duties, scholarship, and possible dismissal of camp without dispute. No camp fees are refunded after 5/1/2017.

C/AC Name: __________________________ Parent’s Name: ______________________

(Print) (Print)


Signature: _________________________ Signature: ________________________
Date: ___________________________ Date: ________________________




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