Staff Application

Full Name
E-mail address
Current Address
City
State
Zipcode
Phone Number
Alternative Phone Number
The address above is temporary permanent
Valid until:
Permanent Address (if different)
City
State
Zipcode
Home Phone Number

Position you are applying for:

Junior Counselor (entering 12th grade)
Senior Counselor (High School graduate)
Activity Specialist, please specify;
Archery
Art
Mountain Bikes
Canoeing
Dance
Drama
Horseback Riding
Outdoor 		Photo
Radio
Rock Climbing
Song Leading
Sports
Video
Waterfront
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.

Activity 1-2-3 Activity 1-2-3
Song leading Ropes
Mountain Biking Radio
Theatre Guitar
Rock Climbing Soccer
Basketball Ultimate Frisbee
Baseball Ceramics
Digital Photography Modern Dance
Still Photo/Darkroom Israeli Dance
Journalism Computers
Swimming Hockey
Horseback Riding Frolf
Volleyball Nature
Football Aerobics
Art Canoeing
Video Waterfront
Archery Lacrosse
Other
Please list any certifications and their expiration dates:
Years as a camper:

Years as staff: 		Name(s) of camp(s):
Are you a smoker? Yes No
If yes, can you make it through a camp day without smoking? Yes No

Please fill out these open questions for us to learn more about you

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
Please prove to us that you're human