STAFF APPLICATION - 2021
BS"D
Trip 1: July 6th - July 26th
Trip 2: July 28th - August 16th
203-456-CAMP
staff@campahuvah.com
Parent information
Marital Status
*
Please Select
Married
Widowed
Divorced
Seperated
Father's Title
*
Please Select
Mr.
Dr.
Rabbi
N/A
Father's first and last name
*
First Name
Last Name
Mother's Title
*
Please Select
Mrs.
Dr.
N/A
Mother's first and last name
*
First Name
Last Name
Mother's maiden name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Number
*
Primary Cell Number
*
Secondary Cell Number
Primary E-mail for parent (if no email is available, please write na@na.com
*
example@example.com
Secondary E-mail for parent
example@example.com
Applicant's Name
*
First Name
Last Name
Birth Date
*
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Year
Please upload a photo (head shot) of the applicant
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What Grade are you currently in?
*
Please Select
11th
12th
Seminary
Post Seminary
What high school do you attend?
*
There is a $500 for all 11th graders that is due upon acceptance.
What seminary do you attend?
*
What seminary did you attend?
*
What high school did you attend
*
Cell Number or best number to reach you at
*
Is the above number text enabled?
*
Please Select
Yes
No
Please write your email address. If you are not reachable by email, please write na@na.com
*
example@example.com
What trip would you like to attend?
*
Please Select
Trip 1
Trip 2
Full Summer
Jobs working at/worked at and for what dates:
*
Summer Experiences
Please answer completely. If you did not work during a particular year, please write N/A
2020
*
2019
*
2018
*
2017
*
Please rate yourself with a number in each of the following skill areas using the following numbers:
1)I am HIGHLY skilled in this area - 2)I am SOMEWHAT skilled in this area - 3) I am CAPABLE of participating but I don't enjoy it and/or it is not my expertise - 4)I am poorly skilled in this area
Outdoor Sports (basketball/machanayim/baseball, etc.
*
Please Select
1
2
3
4
Wilderness (Outdoor fires, hiking, survival, etc.)
*
Please Select
1
2
3
4
Waterfront (Lifeguard/boating/swimming
*
Please Select
1
2
3
4
Dance/Gymnastics
*
Please Select
1
2
3
4
Crafts/Painting
*
Please Select
1
2
3
4
Gourmet Baking/Cooking
*
Please Select
1
2
3
4
Art (Drawing)
*
Please Select
1
2
3
4
Musical Ability (Singing/playing an instrument)
*
Please Select
1
2
3
4
Stage Performing
*
Please Select
1
2
3
4
Room Decor
*
Please Select
1
2
3
4
For the areas you are highly skilled at above, please tell us any past experience you were involved in this area. If you are unable to give an answer, please write N/A
*
Please rate yourself with a number in each of the following skill areas using the following numbers guide:
1)I am HIGHLY skilled in this area - 2)I am SOMEWHAT skilled in this area - 3) I am CAPABLE of participating but I don't enjoy it and/or it is not my expertise - 4)I am poorly skilled in this area
Realting well to youngsters
*
Please Select
1
2
3
4
Team Player
*
Please Select
1
2
3
4
Leadership among peers
*
Please Select
1
2
3
4
Organization
*
Please Select
1
2
3
4
Compassionate caregiver
*
Please Select
1
2
3
4
Teaching
*
Please Select
1
2
3
4
For the areas you are highly skilled at above, please tell us any past experience you were involved in this area. If you are unable to give an answer, please write N/A
*
Answer Briefly
What is your greatest personality asset when working with kids?
*
What makes you a good role model for campers?
*
Describe yourself in 5 words or less?
*
If I asked someone you worked with recently on a project or goal what your greatest strength is, what do you think they would say?
*
If I asked someone you worked for/under in the recent past what your greatest strength is what do you think they would say?
*
Please list at least two (up to four) girls you would want to work with in any job we assigned to you
*
Friend 1
*
Friend 2
Friend 3
Friend 4
What would be the most important thing to you when working in a staff job.
Please number them in order of importance. 1 is most important and 3 is least important. Use each number once.
Working with friends
*
Please Select
1
2
3
Working at something you love
*
Please Select
1
2
3
Working at something you're good at
*
Please Select
1
2
3
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