Staff – Camp Gan Israel

PLEASE NOTE: THIS STAFF FORM IS FOR THE CAMP GAN ISRAEL LOCATED IN GREAT NECK

Staff Registration

Be a part of Camp Gan Israel!

Staff ages 16 and up
Summer 2026 Dates:
Tuesday, June 23rd - August 14, 2026 (8 weeks), 2026 (8 weeks)

Staff Registration

"*" indicates required fields

Staff Name*

First Last

Date of Birth*

Phone*

Email*

If you are applying as a group, please list the other members here:

Personal Info*

Current School

Current Grade

Parents Information

Mother's Info*

Name

Cell Phone

E-mail

Father's Info*

Name

Cell Phone

E-mail

Education

Fill out all that apply

School 1*

Year

School Name

Reference Name

Reference Number

Work/Camp References:

Reference 1*

Reference Name

Reference Phone Number

Role

Reference 2*

Reference Name

Reference Phone Number

Role

Why do you want to be a counselor in camp this summer?*

Age Preference:*

What do you want to gain out of the summer?*

Which weeks are you applying for*

Please note: preference will be given to staff that apply for the full summer.

Full 8 weeks: June 22 - August 14

First 4 weeks: June 22 - July 17

Second 4 weeks: July 20 - August 14

Other

If you chose "other", please specify dates:*