Staff Application

Staff Aplication
Full Name*

First NameLast Name
Permanent Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth *

MonthDayYear
Hebrew Date of Birth *
What type of position are you applying for
If your part of a group that's applying please list the name's in your group, and positions.
Past Work History

Please provide a record of all relevant employment (paid and volunteer) minimum two required. Include position of camp staff and names and contact info of supervisor. Note: We will only review applications that have Phone Numbers for References.
Referance #1
Worked at (Camp Name)*
Dates*

MonthDayYear
Supervisor Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Your Position*
Referance #2
Worked at (Camp Name)*
Dates*

MonthDayYear
Supervisor Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Your Position*
Character References

Give names and contact info of two persons (not relatives) having knowledge of your character, experience, work habits and ability.
Referance #1
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Referance #2
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Education

Please list your current and last year yeshiva - Shlichus - Semicha (where applicable) and References' names and contact info.
Yeshiva*
Year/s*
Please select *
Reference Name/ Mashiach*

First NameLast Name
Phone Number*

Area CodePhone Number
Yeshiva*
Year/s*
Please Select *
Reference Name/ Mashiach*

First NameLast Name
Phone Number*

Area CodePhone Number
Certifications & Questions
YesNo
YesNoOther
What contributions do you think you can make at YKPSA*
What contributions do you think a well-run Yeshivas Kayitz can make to Talmidim?*
If YKPSA were to do a staff Training course, what area of training would benefit you the most, and why?*
Should be Empty:

Staff Aplication

Past Work History

Character References

Education

Certifications & Questions