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Mendocino Lake 4-H Camp Registration July 6, 2020 - Teen Staff Application


Mendocino Lake 4-H Camp at Mendocino Woodland

July 6-10, 2020

4-H Summer Camp Teen Staff

Director, Dean and Counselor Application

  • Dean and Director Application and Essay Due: December 2, 2019 at the Ukiah or Lake 4-H office
  •  Interviews for Dean and Director will be Wednesday, December 11, 2019 - Ukiah 4-H Office starting at 6:00pm
  • Counselor and Workshop Counselor Applications and Essay Due: February 2, 2020

If you have questions please contact the Lake UCCE office at 263-6838 or Julie Frazell at

Teen Staff Information 

Parent/Guardian Emergency Contact Information

Second Adult Emergency Contact Information


Counselor requirements 1 - 5:

1) 14 years of age by December 31, 2019

2) Currently enrolled in the 4-H program

3) Abide by and enforce the 4-H camp policy, mission, and code of conduct 

4) Complete minimum of 14 hours of training, the third Wednesday of each month beginning February 2020, may include two Saturdays 

5) Attend the entire camp session


Dean and Directors must meet requirements 2-9

6) Be 16 years old by December 31, 2019

7) Have attended 4-H Camp in the past

8) Have served as a Counselor or Dean

9) Attend additional planning meetings and trainings  


Please mark all positions you are interested in applying for:


Dean and Director Application and Essay Due: December 2, 2019

Counselor and Workshop Counselor Application and Essay Due: February 3, 2020.

All Teen Staff - $200.00 fee is Payable to: 4-H Summer Camp. $50 installments may be paid between November through May. Final Payment due May 11, 2020.

To pay by check:

Make Payable to: 4-H Summer Camp     

Mail to: Summer Camp c/o UCCE Lake

883 Lakeport Blvd., Lakeport CA 95453