Use this application ONLY if you are a NEW APPLICANT and haven't been a staff member at CCP.

Full Name
E-mail address

School/Current Address
Valid until:
City St Zip Home Phone Alternative Phone

Permanent Address (if different)
City St Zip Home Phone

Position you are applying for:

Junior Counselor (Entering 12th grade)
Senior Counselor (High School Graduate)
Activity Specialist, please specify:

    Art    Drama    Mountain Bikes    Photo
    Outdoor    Waterfront    Sports    Dance   
    Radio   Archery    Video    Rock climbing

    Song Leading    Canoeing    Horseback Riding

Unit Leader     Age group preference
Ozrim (CIT) Director
Program Director
Office Manager
Nurse/Wellness Center Staff
Judiac Programmer

Please mark the activities you can teach, assist or work with as follows: Check "1" next to those you can be the lead; check a "2" next to those you can assist with; check a "3" next to those you have an interest in. Leave others blank.

1 - 2 - 3
Song leading
Mtn. Biking
Theater
Rock Climbing
Basketball
Baseball
Digital Photog.
Still Photo/Darkroom
Journalism
Swimming
HB Riding
Volleyball
Football
Art
Video
Archery
Ropes

1 - 2 - 3
Radio
Guitar
Soccer
Ultimate
Ceramics
Mod. Dance
Israeli Dance
Computers
Hockey
Disc Golf
Nature
Aerobics
Canoeing
Waterfront
Lacrosse

Other:

Please list any certifications and their expiration dates:

Years as a camper:
Years as a staff member:

Name of camp(s):

Smoker?
Yes
No

If yes, can you make it through a camp day without smoking?
Yes
No

Why are you applying to Camp Charles Pearlstein?

What do you feel you can contribute to our camp?

Describe your camp background/experience (specify if residential)?

What do you do during the school year? What are your hobbies and interests?

At the end of the summer, what would you like every camper to say about you?

What experience do you have working with children?

Why do you feel Jewish camping is important in developing a positive Jewish identity?

Describe your knowledge/background in Judaism.

Are you willing to work and play hard all summer?
Yes!