Staff – Camp Gan Israel

Staff Registration

Be a part of Camp Gan Israel!

Staff ages 16 and up
Summer 2024 Dates:
Tuesday, June 25th - Friday, August 16, 2024 (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.

June 23 - August 16

June 23 - July 22

July 21 - August 16

Other

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