Staff Form — GAN ISRAEL DAY CAMP

CAMP GAN ISRAEL CENTRAL LONG ISLAND

APPLICATION FOR POSITION AS CAMP STAFF MEMBER

Name

First Name

Last Name

Home#

(###)

###

####

Cell#

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

High School attending/ed - Grade completing (June 2021) or year graduated?

Experience with children in schools, clubs, etc. (explain)?

Camp experience, if any (name camps and years)?

Special abilities?

In the box below put the item/s and - Place #1 by those activities you have experienced as a leader; #2, good knowledge of; #3, fair. Aerobics Art Athletics (specify below) Baseball Basketball Bowling Computers Crafts Dancing Drama Editorial Work Gymnastics Languages Lifeguard (certified) Martial Arts Music, Instrumental Nature Photography Singing Soccer Swimming Tennis Theater Arts Volleyball Woodworking Give full details – teams played on, letters, awards and certifications

What type of position are you looking for at camp?

Can you provide your own transportation to and from camp?

Dates available for work: From ______________ To______________

Referred by? ________________________________ Relationship? ______________________

References (Personal and Business) please include name, phone number and relationship (no relatives) Enter three names and contact information in the box bellow?

Remarks (anything you wish to add)?

Do you hold any certifications, training, experience, or college coursework in any of the following areas? (Please list names and dates) American Red Cross CPR for the Professional Rescuer / American Heart Association BLS-C / Suffolk County Certification (lifeguard) / Water Safety Instructor / Responding to Emergencies / Other?

* I certify that all the information provided on this application is true and free of falsehood.

* I Understand Camp Gan Israel is required by law to conduct background checks on all applicants.

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REGISTER TODAY FOR SUMMER 2025 AND TAKE ADVANTAGE OF HUGE EARLY BIRD SABINGS

Our campers enjoy a wide range of exciting activities and field trips in a warm, safe and vivacious atmosphere that exposes the beauty of our Jewish heritage and provides every child with a wonderful and fulfilling camp experience. CGI has all the benefits of specialty camps – rolled up into one!