Camp Yaldeinu 2026 Staff Application

Camp Yaldeinu 2026 Staff Application
Name*

First NameLast Name
Legal Name*

First NameLast Name
Applicant Status*

New ApplicantReturning Camp Yaldeinu Staff
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DOB*

MonthDayYear
Date
Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Does this cell phone have texting?*

YesNo
Email Address - Please provide an email address that is valid and monitored constantly since ALL communication is done via email.*
Camp Yaleinu Postions:

10th Grade: Mother's Helper; Daycamp
11th Grade & up: Rotator; Counselor (2nd Half only)
12th Grade & up: Counselor
Current Grade*

10th Grade11th Grade12th GradeSeminaryPost High School
High School Attending*
Principal or Teacher:*

First NameLast Name
Principal or Teacher phone number:*
Please enter a valid phone number.Format: (000) 000-0000.
High School Attended*
Principal or Teacher:*

First NameLast Name
Principal or Teacher phone number:*
Please enter a valid phone number.Format: (000) 000-0000.
Seminary Attending*
Are You In Seminary Out of The Country?*

YesNo
US Number that you can be reached at*
Please enter a valid phone number.Format: (000) 000-0000.
Please make sure to provide an email address that you can use after you return from Seminary.
Previous Camps Attended:*
Session applying for:

First Half: June 29 - July 27Second Half: July 27 - August 17
Please note: By applying for a session, you are committing to its entirety. When applying, please ensure that there are no conflict with your other summer plans. Staff members will not be permitted to miss days either at the beginning or the end of the session.*

I agree
How did you hear about Camp Yaldienu? (please specify who)*
Type a question
Are you applying with anyone?*

YesNo
Who are you applying with?*
Do you have experience working with children with special needs?*

YesNoOther
Please specify:*
References:

Please provide 2 references of people you have worked under in the past.
Please describe the position you held when working.

(For example: Summer Camps/Day Camps, School Extracuricular Activities, Special needs organizations, etc.)
Reference 1*

First NameLast Name
Reference 1 Title / Relationship to Reference*
Reference 1 Phone number:*
Format: (000) 000-0000.
Reference 2*

First NameLast Name
Reference 2 Title / Relationship to Reference*
Reference 2 Phone number:*
Format: (000) 000-0000.
Camp Yaldeinu is a camp for children and teenagers with special needs. By agreeing to come to Camp Yaldeinu, you agree to taking care of any child and will meet their needs appropriately. Proper support and training is provided.
Comments or Questions:
Should be Empty:

Camp Yaldeinu 2026 Staff Application

References:

Camp Yaldeinu is a camp for children and teenagers with special needs. By agreeing to come to Camp Yaldeinu, you agree to taking care of any child and will meet their needs appropriately. Proper support and training is provided.