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 Information Your Name* First Name Middle Name Last Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Cell Phone Number* Area Code Phone Number E-mail Position applying for:* Junior CounselorCounselorHead Counselor 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: Week 1: June 23 - June 27Week 2: June 30 - July 4 (No Camp Fri. July 4Week 3: July 7 - July 11Week 4: July 14 - July 18Week 5: July 21 - July 25Week 6: July 28 - August 1Week 7: August 4 - August 8 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 Name Last Name Grade Entering in September 2025* Post High School Twelfth GradeEleventh GradeTenth Grade (Junior Counselor)Ninth Grade (Junior Counselor)Eighth Grade (Junior Counselor)Seventh Grade (Junior Counselor) Current School* Driver's License # Include State Camp T-shirt Size Please chooseAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-Large Gender* MaleFemale 2. Previous Camp Experience Summer 2024 2024 Position 2024 Location 2024 Director 2024 Director Contact # Summer 2023 2023 Position 2023 Location 2023 Director 2023 Director Contact # 3. References Reference # 1* First Name Last Name * Relation / Acquaintance * Area Code Phone Number E-mail Reference # 2 First Name Last Name Relation / Acquaintance Area Code Phone Number E-mail 4. 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* Date Month Day Year Should be Empty: Submit This page uses TLS encryption to keep your data secure.