APPLY NOW FOR AN EXPERIENCE OF A LIFETIME! To apply now for a position as counselor at Camp Gan Israel Southampton please complete the following application: STAFF INFORMATION Name First Middle Last Address Street City State/Zip Date Of Birth Select Month January February March April May June July August September October November December Select Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31Select Year 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 Current Grade Contact Info Phone Email Cell Phone Previous Camp Info Camp Camp Camp Year Year Year Position Position Position Emergency Contact Info Name Phone Relationship QUESTIONS What do you expect from this Summer? What are your strengths? What position(s) are you most interested in and why? Please list the names, phone numbers and emails of 3 references (ie. teacher, employer, community leader, religious leader etc.) Date of Application This page uses 128 bit SSL encryption to keep your data secure.
