Camp Shoresh Staff Application 2020
Please fill out the following application by answering all questions accurately and honestly.
First Name *
Last Name *
Social Security Number *
Address *
City *
State *
Zip Code *
Phone Number *
Cell Phone Number *
Write NONE if applicable
Email Address *
Age *
Date of Birth *
List as Month/Day/Year
Current Grade
T-Shirt Size *
Choose One
Education
List the Yeshivos/Schools attended since the start of High School
School #1 *
Please include City and State
School Phone Number
Year(s) Attended *
Grade(s) *
Degrees
School #2
Please include City and State
School #2 Phone Number
Year(s) Attended
Grade(s) Attended
Degree
School #3
Please include City and State
School #3 Phone Number
Year(s) Attended
Grade(s)
Degree
Camping Background
List all camps in which you have been employed
Camp
Year(s)
Camp Reference
Phone Number
Position and Age Group
Salary
Camp
Year(s)
Camp Reference
Phone Number
Position and Age Group
Salary
Work Experience
Name of Employer
Position
Address
Include City and State
Supervisor
Supervisor Phone Number
Employer 2
Position 2
Address
Include City and State
Supervisor
Supervisor Phone Number
Character References
Please list 3
No Relatives please
Character References *
Please include Name, Address, Telephone Number and Relationship
Camp Program Skills
Please put a "T" after those activities you can teach as an expert, an "A" for those activities you can assist with, and a "C" after those in which you have current certification.
Adventure/Nature
Challenge/Ropes Course
environmental studies
Gardening
Insects
Arts/Crafts
Crafts
Drawing/Painting
Photography
Woodworking
Campcraft
Bonfire Making
Hiking
Wilderness Skills
Dance/Fitness
Aerobics
Hip-Hop Dancing
Gymnastics
Israeli Dance
Drama
Theatre
Music
Singing
Instrument
please list
Sports
Archery
Baseball/Softball
Basketball
Fishing
Football
Gym Hockey
Martial Arts
Skating
Soccer
Volleyball
Waterfront (Staff members who are certified to teach swim lessons will be paid more)
Canoeing
Kayaking
Rowing
Swimming (Staff members who are certified to teach swim lessons will be paid more)
Miscellaneous
Foreign Language
please list
Laining
Storytelling
Other
Certifications/Experience
Do you carry current certificates in First Aid? CPR? Lifeguarding?
How would you describe your swimming ability?
List any other certificates, degrees, accreditations, etc that might be helpful in camp.
List any other previous jobs or experiences that you feel would be an asset as a counselor
Self Assesment
What talents or abilities do you feel would be your strengths in working in our camp?
Do you have any youth leadership experience?
What areas or responsibilities do you feel would be challenging or difficult for you in our camp?
What age group do you want to work with in camp? Why? *
ex. Little/Junior Shoresh, Lower Division, Upper Division, CITs
Can you drive a van?
Clear selection
I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law that alters that status. Furthermore, I understand that any agreement must be in writing and signed by the Camp Shoresh Director. I also understand that untrue, misleading, or omitted information herein or in other documents completed by myself may result in dismissal, regardless of the time of discovery by the camp. *
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