Counselor Application
Camp Gan Israel UES
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is mother Jewish?
*
Please Select
Yes
No
Converted
Is maternal grandmother Jewish?
*
Please Select
Yes
No
Converted
If there are any conversion, please attach the document here.
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What school do you attend?
*
How did you hear about us?
*
Describe yourself
*
Describe your strengths and weaknesses
*
Have you ever worked with children? If yes, please describe what age and what capacity.
*
Please provide at minimum two working references below
*
Rows
Full Name
Contact Number
Email
Reference 1
Reference 2
Reference 3
Summer 2026 dates are June 22-August 13, please specify which dates you would be available.
*
Which age group would you prefer to work with
*
Age 2 (Mini Gan Israel)
Age 3 (Mini Gan Israel)
Age 4 (Gan Israel)
Age 5 (Gan Israel)
Age 6 (Gan Israel
Age 7-8 (Gan Israel)
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