Online Staff Application Form 2024

Please fill out ALL relevant information to the best of your ability. Incomplete applications may not be reviewed or accepted. All complete applications will undergo a careful review process, including reference checks. Inquiries can be sent to [email protected]

Full Name

First Name Last Name

Social Security Number

Parent's Name

First Name Last Name

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth

Phone Number

Area Code Phone Number

Parent's Number

Area Code Phone Number

E-mail

Dates Available

What type of position are you interested in?

Where did you hear about CGI Wellington?

Past Camp Work History - Provide a record of all relevant employment (paid and volunteer). Include position, supervisor/head counselor and their contact information.

Work History 1

Year City & Head Counselor/Director Your Position Phone & Email

Work History 2

Year City & Head Counselor/Director Your Position Phone & Email

Other Work or Volunteer Experience

Character References - Give names and contact info. of three persons (2 non-relatives) having knowledge of your character, experience, work habits and ability.

Character Reference 1*

Name Phone Number Address Capacity in Which They Know You

Character Reference 2*

Name Phone Number Address Capacity in Which They Know You

Character Reference 3*

Name Phone Number Address Capacity in Which They Know You

Education - Please List High School and Seminary/College Education, and References: names and contact info

School Reference*

Year/s School/Seminary Reference Name Phone/Email

School Reference

Year/s School/Seminary Reference Name Phone/Email

Current Grade

WSI, Lifeguard, CPR/1st Aid Certification

I am certified in CPR/1st Aid through the end of July of this year. I am not CPR/1st Aid certified, and will arrange for my own training I am certified in WSI through the end of July of this year. I have Lifeguard Certification through the end of July of this year.

What special contributions do you think you can make at Camp Gan Israel?

Harassment - The camp's policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior accusation or conviction is not an automatic bar to employment. The type of conviction or accusation and when it occurred will be evaluated by the camp before any decision is made.)

Harassment*

Explain:

Criminal Record - Have you ever been convicted of a violent crime, a crime against children or any other crime, including sex-related or child-abuse related offenses other than a minor traffic offense?

If yes, please describe. (Note: We do not request information about those convictions which have been sealed, or expunged, or statutorily eradicated. A prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.)

Criminal*

Explain:

Have you had any serious illness?*

Have you had any mental health illness? *

Are you on any medication? *

Explain:

Authorization to Investigate
I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp.

Full Name*

First Name Last Name

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Online Staff Application Form

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