2008 General Staff Application
Sr. /Jr. Counselor/Waiter/Specialty Staff

 
                               

Position requested:

Social Security Number

First Name:

Last Name: Date of Birth:
           
Present Address Street: City: State: Zip:   
Home Address Street: City: State: Zip:   
Telephone Present: Home: Cell:  
Email: Occupation:    

Specify hospitalization and accident insurance: Pharmacy Insurance Number:

 
State of health: Physical disabilities:  
 
Education
 

School

City
Year now in or year graduated
Degree
  
High School

   
Yeshiva in Israel
 
College

 
Graduate Work

 
 
Work Experience:
Name of Occupation Address Job Title Salary Dates          

         
         
         
 
Previous Camping Experience:
  1) As a staff member
Name of Camp Supervisor City Address Position Age Group Salary Year          
         
         
         
  2) As a camper

Name of Camp

 Years
 

List or particulars of any courses or training in leadership

 
NCSY or Youth Group Participation?   

If so, which years and what capacity?

 
Are you a member of any organizational or communal group?  

If so, specify:

 
 
Analysis of skills: Specify degree of ability in each area
 
Arts and Crafts: Sports:  
Painting and Sketching: Softball:  
Posters: Basketball:  
Copper Works: Tennis:  
Ceramics: Wrestling:  
Woodcraft: Archery:  
Power Tools: Volleyball:  
    Hockey:  
    Track and Field:  

Music and Dance:

 Aerobics:  
Group Singing: Karate:  
Choir:      
Conducting:      
Instrument:      
Israeli Dancing:

Dramatic:

  
    Skitwriting:  

Miscellaneous:

 Directing:  
Nature Study: Staging and Lighting:  
Outdoor Camping: Costuming:  
Journalism: Pantomime:  
Photography: Sound:  
First Aid:    
EMT:

Other Skills:

    
Audio-Electronics:  
Computer Skills :
Horseback Riding:
   

Synagogue Skills:
Baal Kriyah:
Baal Tefilah:
Sermonizing:
Baal Tokayah:
   

Water Sports:
Swimming:
Canoeing:
Water Skiing:
Sailing:
Red Cross Award: specify highest
 

CERTIFICATIONS

Driver's License:   License #    State   Expiration Date:

First Aid, CPR OR BLS, EMT (Please indicate certification(s) and expiration date):

Waterfront (check & indicate expiration date): A.L.S.  W.S.I.  Other

 
Current position during the year:
 
Briefly describe the type of position you are interested in and what experience you have in that area:

 

With which age group are you interested in working?
 
Please include references who know of your qualifications and skills, who have supervised you in a professional capacity and who can attest to your character. References who can evaluate your work with children such as former employers, teachers, rabbis or school counselors are preferred. Do not use relatives, friends or neighbors as references. Applications are not considered complete if reference does not include a full mailing address and current telephone number. Please list at least three references.
Name Address Phone Professional Relationship   How long known?    

       
       
       
 
Why have you chosen to apply to Camp Morasha?
How did you find out about Camp Morasha?
What is your minimum salary requirement?
Have you ever been convicted of any criminal offense including, but not limited to, child abuse, sexual abuse or drug offense? If yes, please attach a separate sheet giving full details.      Yes No     
   
Please read the statement and check the box:

By checking this box, I certify that the above information is true and accurate to the best of my knowledge. I understand that, if employed, it will become part of my personnel file and that any misstatement of fact or falsification of information may be cause for immediate dismissal.