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 r[email protected] Full Name First Name Last Name M/F MaleFemale Social Security Number Parent's Name First Name Last Name Home Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other 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 Manalapan? Past Camp Work History - Provide a record of all relevant employment (paid and volunteer). Include position, supervisor/head counselor and their contact info.. Work History 1 Year City & Head Counselor/Director Your Position Phone & Email Work History 2 Year City & Head Counselor/Director Your Position Phone & Email Work History 3 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 Nember Address Capacity in Which They Know You Character Reference 2* Name Phone Nember Address Capacity in Which They Know You Character Reference 3* Name Phone Nember 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 10th Grade 11th Grade 12th Grade College/Sem Aleph College/Sem Bet+ WSI, Lifeguard, CPR/1st Aid Certification I am certified in CPR/1st Aid through the end of August of this year.I am not CPR/1st Aid certified, and will arrange for my own trainingI am certified in WSI through the end of August of this year.I have Lifeguard Certification through the end of August 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 * Yes No 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* Yes No Explain: Have you had any serious illness?* Yes No Have you had any mental heath illness?* Yes No Are you on any medication?* Yes No 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 Enter the message as it's shown* Should be Empty: Submit This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.