USA Staff Application-Use this application if you are currently living in the USA

'Applied' Information

Email
Must be unique
Title
Applied First name*
Applied Middle name
Applied Last name*
Birthdate
1. Month
2. Day
3. Year
Gender
Primary Phone

Address Line 1*
Address Line 2
City*
Country*
State*
State*
Zip Code*

Are you a certified lifeguard?

Are you interested in being involved, as a madrich(a) in our Yachad program?

Are you involved in Bnei Akiva?

At what level are you able to read Hebrew?

At what level are you able to speak hebrew?

At what level are you able to write Hebrew?

Cellular Telephone

Choose session/s you wish to be employed

College: Course of Study

College: Did you graduate? (if not, when will you graduate?)

College: Name and Location

College: Number of years completed

Credentials and Expiration Dates:

Have you attended Mach Hach B'Aretz?

Have you attended Yeshiva/Program in Israel? If so, what year?

Have you been to Israel? If so, what years and on what programs?

Have you ever worked as a staff member at Camp Moshava?

High School: Did you graduate? (If not, when will you graduate?)

High School: Name and Location

High School: Number of years completed

If counselor, indicate the age group you are most interested in working with (First Choice)

If counselor, indicate the age group you are most interested in working with (Second Choice)

If so, what Shevet do you belong to?

If so, what year?

Job Assignment-1st Summer

Job Assignment-2nd Summer

Job Assignment-3rd Summer

Please describe your previous work experience, including Company Name, Location, Phone Number, Name of Supervisor, Describe your work and Dates of Employment

Please list and describe any special skills or talents that you have an ability to teach or in which you have had experience

Please list any previous camp experience, including camp name, location, position (including as a camper) and year(s)

Position Desired (First Choice)

Position Desired (Second Choice)

School Attending Presently (if applicable)

Social Security

Statement

Were you ever convicted of any crime including sex and child abuse related offenses?

Please write a statement that describes your thoughts on the following camp issues:

Why do you want to work at a summer camp?
Why do you want to work at Bnei Akiva/Camp Moshava?
What characteristics do you possess that will facilitate your functioning as an effective staff member?
Please elaborate on how you will benefit from the experience of working as a staff member at Camp Moshava?

Add New Applied

'Reference 1' Information

Reference Email

Email address must be unique

Title

Reference First name

Reference Last name

Birthdate

Gender

Primary Phone

Work Phone

Other Phone

Relation to Applied

'Reference 2' Information

Reference Email

Email address must be unique

Title

Reference First name

Reference Last name

Birthdate

Gender

Primary Phone

Work Phone

Other Phone

Relation to Applied

'Emergency Contact 1' Information Copy contact information from 'Applied'

Emergency Contact Email*

Email address must be unique

Title

Emergency Contact First name*

Emergency Contact Middle name

Emergency Contact Last name*

Maiden name

Birthdate

Gender

Primary Phone*

Work Phone

Other Phone

Occupation

Address Line 1*

Address Line 2

City*

Country*

State*

Zip Code*

I accept Camp Moshava I.O.'s Terms of Service

I accept Bunk1's

Submit

USA Staff Application-Use this application if you are currently living in the USA

'Applied' Information

'Reference 1' Information

'Reference 2' Information

'Emergency Contact 1' Information Copy contact information from 'Applied'

Thank you for applying to Camp Moshava I.O. summer 2014!