Staff – Camp Gan Israel

Staff ages 16 and up
Summer 2023 Dates:
Tuesday, June 20th - Thursday, Aug 17, 2023 (9 weeks)

Staff Registration

Staff Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Email(Required)

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

Personal Info(Required)

Current School

Current Grade

Mother's Info(Required)

Name

Cell Phone

E-mail

Father's Info(Required)

Name

Cell Phone

E-mail

Fill out all that apply

School 1(Required)

Year

School Name

Reference Name

Reference Number

Reference 1(Required)

Reference Name

Reference Phone Number

Role

Reference 2(Required)

Reference Name

Reference Phone Number

Role

Why do you want to be a counselor in camp this summer?(Required)

Age Preference:(Required)

What do you want to gain out of the summer?(Required)

Which weeks are you applying for (please note, preference will be given to staff that apply for the full summer.)(Required)

Full summer (6/19 - 8/17)

First session (6/19 - 7/14)

Second Session (7/17 - 8/17)

Other

If you chose "other", please specify dates:(Required)