Staff Application Position applying for: * Counselor Jr Counselor Head Counselor Full Name * First Name Last Name Full hebrew name * Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Cellphone Number Country (###) ### #### Home Phone Country (###) ### #### Father's Name First Name Last Name Father's Cellphone Number (###) ### #### Mother's Name First Name Last Name Mother's Cellphone Number (###) ### #### Grade Entering * T-shirt size * S M L XL Are you applying with a group? * Yes No How did you hear about CGI? Medical Information: Do you have known allergies? * Yes No Are you on medication? * Yes No Emergency Contact Name * First Name Last Name Emergency Contact Phone Number * Country (###) ### #### Relationship * 2 References Reference 1 * First Name Last Name Phone (###) ### #### Email Relationship Reference 2 * First Name Last Name Phone (###) ### #### Email Relationship CPR/First Aid Certification * I am certified in CPR... I am not CPR/First Aid certified Do you have a valid driver's license? * Yes No What contributions do you think you can make at Camp Gan Israel? * Are there any details we should know about you and your work habits? * Whats your favorite snack? * Thank you! For any question feel free to contact us any time Contact Us
