Staff Application

Thank you for your interest in working at Camp Edward Isaacs! We are looking for good people to fill all staff positions. If you have a responsible attitude, love kids, can work as part of a team, like to have fun, and feel you have something to contribute to a warm and friendly Jewish camp community, please apply! The minimum age for paid positions is 17. There are limited junior counselor, office, or lifeguard positionsfor this age group. All other positions must be at least 18 years old by June 15, 2004.

Please contact Amy Posner at or e-mail for more information.

First Name
Last Name
Gender
Birth Date
Age as of 6/30/04
Grade Completed as of 6/04
Social Security #
School Attending
Home Address
City
State
Zip Code
Phone Number
E-Mail Address
College Address (if applicable)
City
State
Zip Code
Phone Number
E-Mail Address
Educational Background:
High School
Dates Attended
College/University
Dates Attended
Area of Study
Please List and Explain any Leadership Experience You Have Had
References (List 3)
Reference #1
Address
Phone Number
Name
Address
Phone Number
Reference #2
Address
Phone Number
Reference # 3
Address
Phone Number
Group/Area Preference
If You Chose "Specialty," Which Activity Would You Prefer?
If You Chose "Pool,"	Please Indicate Appropriate Certification Information:
Lifeguard Training	Expires
Basic Life Support	Expires
Water Safety Instruction	Expires
CPR	Expires
First Aid	Expires
Do You Have Any Physical Limitations or Illnesses?	Yes No
If Yes, Please Explain
Are You a Smoker?	Yes No
Do You Have Any Special Dietary Needs?	Yes No
If Yes, Please Explain
Have You Ever Been In an Incident Involving the Sexual or Physical Abuse of Children?	Yes No
If Yes, Please Explain
Have You Ever Been Convicted of a Felony or Misdemeanor	Yes No
If Yes, Please Explain
Please Give Careful Thought to the Next Few Questions:
If you ever attended a Residential/Sleepaway Camp, Please Give the Name and Location
Some Experiences With Children That I Have Enjoyed Are:
Elements That I Find Essential to Building a Positive Community:
Challenges That I Anticipate Facing While Working as a Counselor:
Personal Strengths That I Anticipate Utilizing at Camp:
I Hope To Work At Camp Edward Isaacs in Order to Gain:
My Most Significant Jewish Experience Was:
Special Interests, Talents, Sports Skills, Hobbies, and Other Information:

By Submitting This Application I Attest That ALL the Information Contained Herein is True and Factual	Yes No
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Summer Address: 200 Nicholson Road, Holmes, NY 12531, Ph. ,
Fax , e-mail: director
Off-Season Address: Central Queens YM-YWHA, 67-09 108th Street, Forest Hills, NY 11375, Ph. Fax , e-mail: director

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