Staff Member Application

Apply Now for An Summer of A Lifetime!

To apply for a counselor or a junior counselor position in Camp Gan Israel please fill out the following form:

Your Name*

First NameMiddle NameLast Name

Birth Date*

MonthDayYear

Cell Phone Number*

Area CodePhone Number

E-mail

Position applying for:*

A limited number of Junior Counselors ( ages 13 - 16) per week will be accepted for this summer, and it will run on a first-come first-serve basis. Please choose which weeks you would prefer to join camp and we will let you know if those weeks are available.

Please select which week you will be attending camp:

Parent's Name & Number

Emergency Contact Name & Number

Any medical issues we should be aware of?

asthma, allergies, medications ...

Permission granted for:*

I permit my child to participate in all activities of Camp Gan Israel, on site, off site and trips.I understand that my child may be dismissed during a camp day, due to illness, at the discretion of the camp, and I agree to abide by the director’s decision.I permit my child’s photo to be used on our Camp Website or e-mail newsletters.In the event of an emergency when a parent/guardian is unavailable, I hereby authorize a representative of Camp Gan Israel to make such arrangements as considered necessary for my child to receive medical or hospital care, including transportation.

Parent's Signature*

First NameLast Name

Grade Entering in September 2021*

Current School*

Driver's License #

Include State

Camp T-shirt Size

Gender*

MaleFemale

Summer 2020

2021 Position

2021 Location

2021 Director

2021 Director Contact #

Summer 2019

2020 Position

2020 Location

2020 Director

2020 Director Contact #

Reference # 1*

First NameLast Name

*

Relation / Acquaintance

*

Area CodePhone Number

E-mail

Reference # 2

First NameLast Name

Relation / Acquaintance

Area CodePhone Number

E-mail

Do you hold a current life-saving or water-safety certificate?

Indicate which and give date of certification.

Which age would you prefer to work with at camp?

What special qualities or character traits do you have that would benefit our camp?

Do you have any unique talents such as artistic or musical abilities?

What aspect of being a counselor do you find most rewarding?

What aspect of being a counselor do you find most difficult?

What contributions do you think you can make at CGI?

What do you expect from your summer experience?

If you are applying as a group, please list other members of your group here:

If you have any other comments, questions or notes, please list them here:

Signature*

Date

MonthDayYear

1. Your Information

2. Previous Camp Experience

3. References

4. A Few Questions:

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