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Counselor Application

For girls entering 8th grade & older 

Summer 2017

Camp dates: 
June 27 - August 17

Campers are ages 2-6

Please fill out the form and you will be contacted within 2 weeks. 

Any questions please call the Chabad office 516-295-2478

Staff Information
Name
  First
Middle
Last
 
Address
  Street
City
State
Zip
Date of Birth
   
Contact Info
  Cell Phone
Email
 

Previous Camp Experience

  Camp:

Reference Name:
Year:
Ref. Phone :
Position:

Position:
    Camp:

Reference Name:
Year: Ref. Phone :

Position:

Position:
 

Current Grade and School   Grade

School
School Attending this Fall:
 
 
Mother's name and Cell Phone
  Name
Phone
 
           
Questions:

 What are your strengths?

Please specify the dates you are able and willing to work in our camp? We prefer staff that stay throughout the summer, but understand other circumstances.

 
Current Grade and School
   

 

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CGI Five Towns 74 Maple Avenue Cedarhurst, NY 11516 516-295-2478
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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