Staff Application Form - campganisrael.net

The dates for Summer Camp this year are August 4-21, 2025.

Staff must arrive on Thursday, July 31 and leave Friday, August 22. Head Staff must be going into seminary or Post-Sem. Counselors must be going into 11th or 12th grade or older. Junior Counselors are going into 9th or 10th grade.

CGI at The Shul welcomes all staff applications. Please keep in mind that we receive more applications than positions available. Each application will be reviewed and considered. We will be choosing our staff based on their qualifications and suitability for our program.

Please fill out ALL relevant information to the best of your ability. Incomplete applications may not be reviewed or accepted. All complete applications will undergo a careful review process, including reference checks.

For help filling out this form or any other staff inquiries please contact Rabbi Yishai Eliefja at [email protected] or Rochel Leah at [email protected].

Complete job descriptions are available by contacting our office.

Position applying for:*

Other: Please explain.

Full Name*

First Name Last Name

E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile Number*

Area Code Phone Number

Home Phone

Area Code Phone Number

Birth Date*

Month Day Year

Father's Name

First Name Last Name

Father's Cellphone Number

Area Code Phone Number

Mother's Name*

First Name Last Name

Mother's Cellphone Number*

Area Code Phone Number

Enter school/job in the fall*

Entering grade in the fall*

T-shirt size*

Are you applying with a group?*

YesNo

Who is in your group?

How did you hear about CGI at The Shul?

Medical Information:

Do you have known allergies?*

Are you on medication?*

Emergency Contact Name*

First Name Last Name

Emergency Contact Phone Number*

Area Code Phone Number

Relationship*

Physician's Name

First Name Last Name

Physician's Phone Number

Area Code Phone Number

Past Work History

Provide a record of recent camp history (paid and volunteer). Include all information including dates, camp, position, names, and contact information of supervisor.
Minimum, one year required.

How many records? max is 4

1. Year

1. Camp name

1. City

1. State

1. Name of Director

First Name Last Name

1. Contact information of Director

1. Your Position

2. Year

2. Camp name

2. City

2. State

2. Name of Director

First Name Last Name

2. Contact information of Director

2. Your position

3. Year

3. Camp name

3. City

3. State

3. Name of Director

First Name Last Name

3. Contact information of Director

3. Your position

4. Year

4. Camp name

4. City

4. State

4. Name of Director

First Name Last Name

4. Contact information of Director

4. Your position

References

Give names and contact information of at least two people (not relatives) having knowledge of your character, experience, work habits, and ability.

How many references? max is 4

1. Full Name

First Name Last Name

1. Phone Number

Area Code Phone Number

1. E-mail

1. Relationship

2. Full Name

First Name Last Name

2. Phone Number

Area Code Phone Number

2. E-mail

2. Relationship

3. Full Name

First Name Last Name

3. Phone Number

Area Code Phone Number

3. E-mail

3. Relationship

4. Full Name

First Name Last Name

4. Phone Number

Area Code Phone Number

4. E-mail

4. Relationship

CPR/First Aid Certification*

I am certified in CPR/1st Aid through the end of August of this year.I am not CPR/1st Aid certified

I have a valid driver's license.*

YesNo

State

What contributions do you think you can make at Camp Gan Israel?*

What contributions do you think a well-run camp can make to children?*

Are there any details we should know about you and your work habits? (This can include special skills, allergies, illnesses, special food requirements, likes and dislikes or anything else we should know about you. Please elaborate.)*

Harassment

The camp's policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, adn all other forms of harrassment.

Have you ever been accused of harassment of any person including, but not limited to, workplace harassment?* Note: a prior accusation or conviction is not an automatic bar to employment. The type of conviction or accusation and when it occurred will be evaluated by the camp before any decision is made.

YesNo

If yes, please explain.

Criminal Record - Have you ever been convicted of a crime, other than a minor traffic offense?* Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.

YesNo

If yes, please explain.

Authorization to Invest

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 which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp.

Full Name*

First Name Last Name

Date*

Month Day Year

Camp Gan Israel

at The Shul

Camp Address