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:1. Your InformationYour Name*First NameMiddle NameLast NameBirth Date*1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920YearCell Phone Number*Area CodePhone NumberE-mailPosition applying for:*Junior CounselorCounselorHead CounselorA 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:Week 1: June 27 - July 1Week 2: July 4 - July 8Week 3: July 11 - July 15Week 4: July 18 - July 22Week 5: July 25 - July 29Week 6: August 1 - August 5Week 7: August 8 - August 12Parent's Name & NumberEmergency Contact Name & NumberAny 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 NameGrade Entering in September 2021*Post High SchoolTwelfth GradeEleventh GradeTenth Grade (Junior Counselor)Ninth Grade (Junior Counselor)Eighth Grade (Junior Counselor)Current School*Driver's License #Include StateCamp T-shirt SizePlease chooseAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargeGender*MaleFemale2. Previous Camp ExperienceSummer 20202021 Position2021 Location2021 Director2021 Director Contact #Summer 20192020 Position2020 Location2020 Director2020 Director Contact #3. ReferencesReference # 1*First NameLast Name*Relation / Acquaintance*Area CodePhone NumberE-mailReference # 2First NameLast NameRelation / AcquaintanceArea CodePhone NumberE-mail4. A Few Questions: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*DateMonthDayYear Should be Empty: Submit This page uses TLS encryption to keep your data secure.