Camp Solelim - Staff Applications

General Information

Name:

Gender: Male Female

Birthdate:

Social Insurance Number:

Medical Insurance Number:

Home Address:

City:

Postal Code:

Home Phone Number:

Temporary/University Address:

E-Mail Address:

Emergency Information

In case of emergency contact:

Relationship to you:

Home Phone:

Work Phone:

Cell Phone:

EDUCATION AS OF JULY 1

(Please list each camp on a separate line)
Year(s), Institution, Degree or Major

CAMPING BACKGROUND AS A CAMPER

(Please list each camp on a separate line)
Name of Camp, Years Attended

CAMPING BACKGROUND AS A STAFF MEMBER

JEWISH YOUTH EXPERIENCES

WORK EXPERIENCES

VOLUNTEER EXPERIENCES

(Please list each organization on a separate line)
Organization, Position(s) Held, Year, Contact Number

ACTIVITIES OF SPECIAL INTEREST

Hiking	Hebrew
Kayaking	Zionist Programming
Israeli Folk Dancing	Leadership Programming
Group Games	Shabbat Services
Isreali Culture	Shabbat Programming
Jewish History	Music

Please give examples and specifications where applicable regarding the activities you have checked:

REFERENCES

Please provide three references (non-relatives) who are familiar with your leadership, work and camp experience (e.g. camp directors, supervisors, employers)

Name, Phone, Organization, Position

(1)

(2)

(3)

Please tell us why you would like to become a staff member at Camp Solelim and what you see as your strengths and weaknesses. How did you hear about our program?

Are there any disabilities that would prevent you from fully participating in this program?

Have you applied to any other Young Judaea camps? If yes, please specify:

Yes No

I hereby declare that the information given above is complete and correct to the best of my knowledge and belief. I understand that if I am employed, falsified statements on this application shall be considered sufficient excuse for dismissal.

Name of applicant:

Application Date:

Please attach any additional information such as a resume and send into our office.

By clicking on the "Submit Application" button, I am aware that if I submit any false information it may lead to the dismissal of my application.