Camp Young Judaea Midwest Returning Staff Application

Welcome to Camp Young Judaea Midwest

ONLINE RETURNING STAFF APPLICATION

Thank you for taking the time to apply for a position at one of our summer programs. We will be contacting you shortly to discuss the summer in more detail. Please note that only complete application forms will be considered.

Young Judaea does not allow potential staff members to submit applications to more than one Young Judaea summer program at the same time. By filling out this application, you understand that you are pursuing employment with Camp Young Judaea Midwest for summer 2010 only and do not have an active or open staff application for another Young Judaea summer program at this time. If you are considering employment at multiple Young Judaea summer programs, please contact each program with questions prior to applying.

NOTE: Fields in red are required.

GENERAL INFORMATION

First Name:
Last Name:
Date of Birth (optional if over 18):
Social Security Number:
Permanent Address:
Permanent Address Line 2:
City:
State:
Zip:
Country:
Permanent Phone:
Cell Phone:
Email:
Position for which you are applying:

COLLEGE ADDRESS(If Different From Above)

College Address 1:
College Address 2:
City:
State:
Zip:
Country:

Phone:
Major/Course of Study:
Present Address Valid Until:

PLEASE CHECK WHEN YOU ARE AVAILABLE

First priority will be given to those working both sessions.
Both Sessions	1st Session
	2nd Session

PLEASE LIST THE YEARS AND SESSIONS YOU HAVE WORKED AT ANY YOUNG JUDAEA CAMP.

CERTIFICATIONS

Please fill in expiration dates for any certifications you hold. Please check all that apply:
Water Saftey Instruction(WSI)
Lifeguard Certification
CPR
First Aid
Ropes Course Instructor
EMT
Archery Instructor
Other

SKILLS

Please rate yourself in the following areas as described below.

"1"=Can Organize and Teach as Expert
"2"=Can Assist in Teaching
"3"=Just a Hobby

"0"=No Knowledge on this topic

Skills
	Arts and Crafts
	Ceramics
	Nature
	Hiking
	Song Leading
	Photography
	Creative Writing
	Archery
	Camping Skills
	Basketball
	Other:

Skills
	Play Directing
	Set Design
	T'fillot (services)
	Hebrew/Israeli Songs
	Radio/Electronics
	Swimming
	Canoeing
	Website Design
	Computers-general
	Soccer
	Sailing
	Fishing
	Frisbee Disc Golf
	Horseback Riding

Skills
	Volleyball
	Israeli Dance
	Drama
	Musical Instrument
	High Ropes Challenge Course
	Cooking
	Jewish History
	Israel/Zionist History
	Jewish Ritual Observance
	Story Telling
	Low Ropes Challenge Course
	Ultimate Frisbee
	Tennis

PLEASE READ ALL OF THE INFORMATION BELOW, AND CHECK, FILL IN, AND SIGN WHERE APPROPRIATE

Do you have a clean driving record (no moving violations in the last three years?	Yes No

Have you ever been convicted of a felony?	Yes No
Have you ever been convicted of any child abuse or sexual abuse offense?	Yes No
If yes to either of the above, please explain? A conviction does not necessarily disqualify you from employment.

ESSAYS

You have had several months to rest and reflect on your camp experience. We realize that a staff member’s role is can not be only physically demanding, but mentally and emotionally demanding as well. Because it is complex and challenging, it has a significant impact on you as an individual. Please tell us about your CYJ Midwest experience and how that might shape your future at CYJ Midwest.
Describe a time last summer when you felt proud to be a staff member at CYJ Midwest.
Describe a mistake you made at camp last summer and what you learned from it.

AGREEMENT

Please read carefully before sending this application.
The statements in this application are true and correct. I understand that any misrepresentation or omission of information shall be considered sufficient reason for withdrawal of an offer, or subsequent termination of employment. I hereby authorize Normandie Watersports to conduct a personal felony record search. By electronic submission of this application to Normandie Watersports, I understand and agree to the conditions stated above.
Please Initial: