Welcome to Camp Young Judaea Midwest


ONLINE STAFF APPLICATION
Thank you for taking the time to apply for a position at Camp Young Judaea Midwest. 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):       
Citizenship(s)  
Social Security Number:   
Current Address Line 1:   
Current Address Line 2:   
City:   
State:   
Zip:   
Current Address Valid Until:  
Permanent Phone:   
College Phone:   
Cell Phone:   
Email:   
    Current Address(If Different From Above)
Address 1:   
Address 2:   
City:   
State:   
Zip:   
Country:   
    POSITIONS
Please select the positions for which you are applying:
General Counselor
Unit Head
Specialist: Area:
Health Professional: Relevant Certificates Held:
Administration: Area:
Other:
    EDUCATION
Please select the level of education completed at close of current academic year:
College:      Graduate School: 
High School Information:
Name of School: 
Location (City & State): 
Years Attended: 
Graduation Date:
College/Graduate School Information:
Name of School: 
Location (City & State): 
Years Attended: 
Major/Degree
   INFORMAL EDUCATION EXPERIENCE
Youth Movement Involvement: Include experience as a member, including positions held
Camp Experience: Include experience as a camper, including camp(s) attended and dates attended
Israel Experience: List trips to Israel including year and length of trip. Indicate whether the trip was with family or with a program and give the name of the progra
    SKILLS AND HOBBIES

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
Camping Skills
Silk-screening
Sailing
Nature
Hiking
Story Telling
Bicycling
High Ropes Challenge Course
Swimming
Canoeing
Low Ropes Challenge Course
Ultimate Frisbee
Other: 
Skills  
Archery
Tennis
Basketball
Fishing
Frisbee Disc Golf
Soccer
Horseback Riding
Volleyball   
Israeli Dance
Drama
Play Directing
Set Design
t'fillot (services)
Skills  
Hebrew/Israeli Songs
Song Leading
Musical Instrument
Cooking
Creative Writing
Photography/Darkroom
Journalism
Radio/Electronics
Jewish History
Israel/Zionist History
Jewish Ritual Observance
    WORK EXPERIENCE
Please list work experience (including all camps and youth work) with accurate contact information. If you have more work experience than the space provided, please add additional work at bottom of the application.
Employer 1 Employer 2 Employer 3
Employer
Dates Employed
Position Held
Supervisor
Phone Number
Email Address
REFERENCES
Please list three references. References must know your qualifications and skills and be familiar with your Judaic and Israel background. If applicable, please use only one reference from Young Judaea. Do not list relatives or close friends. This section is required in order for your application to be considered for employment at Camp Young Judaea.
Name: 
Occupation: 
Telephone #: 
Email: 
Full Mailing Address: 
Name: 
Occupation: 
Telephone #: 
Email: 
Full Mailing Address: 
Name: 
Occupation: 
Telephone #: 
Email: 
Full Mailing Address: 
    CERTIFICATIONS
  Please check all that apply: Please fill in expiration dates for any certifications you hold.
Water Saftey Instruction(WSI) 
Lifeguard Certification 
CPR 
First Aid 
Ropes Course Instructor 
EMT 
Archery Instructor 
Other 
    MISCELLANEOUS
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)    
Do you have a vaild drivers license? Yes   No
Do you have a clean driving record? (one or less moving violations with the past 3 years) Yes   No
AVAILABILITY
First priority will be given to those able to work both sessions.
When are you available to work?  First Session
Second Session
Both Sessions
ESSAY QUESTIONS
What attributes/qualities do you possess that would make you a valuable staff member at our camp?
What do you perceive to be the responsibilities of a staff member?
Write a brief biographical sketch. Include any training or experience that would help in the position you are applying for. Describe your three strengths and weaknesses as a leader.
    AGREEMENT
Please read carefully before sending this application.
I authorize investigation of all statements herein and release the camp/program and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.
Please Initial: