Print out the form below and fax it to (323) 967-5000 STAFF APPLICATION FORM Applying for position of _______________________________ Date__________________ Name_____________________________ Phone ____________ Fax _________________ Address__________________________________ City _____________ State __________ Age _____ Date Of Birth ___/___/___ E-Mail ___________________________________ Present Yeshiva Attending ________________________________ Grade _____________ Other Schools previously attended _____________________________________________ List and describe briefly skills, hobbies, and interests, including Jewish activities and general groups (music, sports, lifeguard etc.): ________________________________________________ _________________________________________________________________________ __________________________________________________________________________ Have you ever attended a sleep-away camp? _____ If Yes, please list camps previously attended and your capacity: __________________________________________________________________________ __________________________________________________________________________ Past experience in Youth groups: ______________________________________________ __________________________________________________________________________ 1. Two letters of recommendation must accompany this application. 2. Minimum required age: Counselor-18; Co-Counselor-17 3. Please attach photograph of yourself to this application. Application will be considered incomplete if photograph is omitted. 4. Because we have great many applicants, we are sorry that we are unable to grant interviews for every applicant. Should your application be accepted for an interview, you will be notified in advance. 5. Upon acceptance, all staff must pay their own airfare to California. 6. Junior Staff fee: $1,295; Campers: $2,795. 7.Campers are expected to tip Rebbeim, Counselors & Junior Counselors. REFERENCES: List 2 references. Preferably, include your Rebbi and a school teacher or principal. NAME ADDRESS TEL.# RELATIONSHIP _____________________ ____________________ __________ _________________ _____________________ ____________________ __________ _________________

Web Design by Duvys.com          © 2005 Camp Horei Maarav. All rights reserved.