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For more info about our camp visit cgirochester.com/stafffaq

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

Staff Information
Name
   First
Middle Last  
Legal Name if different
   First
 Middle Last  
Address
   Street
City State
Zip
Date of Birth
   Age:
Contact Info
   Phone
Email
 

Education:

   School:
 Grade: City:

Camp Attended Last Year:

   Camp:

Head Counselor/Counselor:
Year:
Phone:
Position:

E-mail:
Previous Year Attended
   Camp:

Head Counselor/Counselor:
Year:
Phone:
Position:

E-mail:
Reference:
   Name
Phone Relationship/Title  
School Reference:
   Name
Phone Title  
Parents Phone    Fathers Cell
  Mothers cell
    
Parents Email    Fathers Email
  Mothers Email
    
Hebrew Names
   Full Hebrew Name
 Mothers Hebrew Name Fathers Hebrew Name   
Questions:

Are you applying with other counselors?  Yes No

If yes, who  

Special talents, interests, hobbies:

What age children do you like working with?
Do you drive? Yes No if yes for how long?

Are you certified in first aid? Yes No
Are you a certified Life Guard? Yes No
Do you have medical insurance in NY State? Yes No
Do you have any food restrictions? Yes No Please specify
Please list any extra Hidurim in Kashrus (other then pas & cholov yisroel):
Have you applied to any other camp? Yes No
Do you agree to abide by all the camp rules (including the highest level of Tznius and not having your phone with you during camp hours)? Yes No
Do your have permission from your parents to apply for this camp? Yes No
Please note that unless specified camp will pay up to $500 for travel round trip.

Do you watch movies? sometimes never

Do you read secular books? occasionally never

Do you try to say Chitas? Occasionally Most of the time Always

Please email a recent picture to [email protected] with your name in the subject.
Comments:
Please note anything that you feel we should know in considering this application: