Staff Application

You may fill Wilshire Boulevard Temple Camps Staff Application by completing the form below.

Name:
Date of Birth: Month Day Year
Gender:
Social Security Number:
Driver's License:
State:
Cell Phone:
Email Address:
PERMANENT ADDRESS
Street and No.:
City and Zip Code:
Telephone Number:
COLLEGE ADDRESS
Street and No.:
City and Zip Code:
Telephone Number:
Send mail to: Permanent Address
College Address
SCHOOL
Name of School:
Major:
Dates at College: from: to:
Graduation: Month Day Year
Have you been to Israel? Yes No
Name of Program:
Length of time:
Do you have: Current Lifeguard training certification?
First Aid Certification?
Archery certification?
CPR?
Other Certification?
Have you ever been convicted of any crime, including sex-related or child-abuse-related offense? Yes No
Are you a U.S. Citizen? Yes No
If not U.S. Citizen, what country are you a citizen from?:
Have you ever worked at WBT Camps? If so, CHK or GHC, what position, and what years?
Have you ever been a camper at WBT Camps? If so, CHK or GHC and what years?
If you have you worked at another Jewish camp, which one?
Hebrew Education: Do you Speak?
Read?
Write?
Jewish Education: Bar/Bat Mitzvah?
Confirmation?
Other:
Temple Affiliation, City, State:
How did you hear about our camps? Recruitment trip, internet, friend or other?
LEADERSHIP SKILLS
Mark the following activities as "I can teach this" or "I can assist with this":
Swimming:
Golf:
Basketball:
Soccer:
Waterpolo:
Volleyball:
Ropes Course:
Tennis:
Archery:
Modern Dance:
Israeli Dance:
Songleading:
Arts&Crafts:
Video Production:
Audio/Visual:
Photography:
Environmental Ed.:
Surfing:
Drama Production:
Journalism:
Improv:
Other skills:
Please state details on all activities that you marked
"I can teach this":
WORK EXPERIENCE
Position/ Responsibilities
Agency name
Dates Worked
Supervisor Name
Supervisor's Phone Number
Supervisor's Email Address
Reason for Leaving
Position/ Responsibilities
Agency name
Dates Worked
Supervisor Name
Supervisor's Phone Number
Supervisor's Email Address
Reason for Leaving
REFERENCES
List two references whom you have known for at least one year. Do not include family members or friends.
Reference Name:
Relationship:
Street and No.:
City and Zip Code:
Telephone Number:
Email:
Reference Name:
Relationship:
Street and No.:
City and Zip Code:
Telephone Number:
Email:

Please check the dates you are available this summer. It is MANDATORY for every senior staff member to be Senior Staff Weekend (April 11-13) and Senior Staff week (June 6-12). It is MANDATORY for every staff member to be at Staff Orientation (June 12-18).

 CHK Session 1: June 18- July 6
CHK Session 2: July 9- August 3
CHK Session 3: August 6- August 17
GHC Session 1: June 18- July 13
GHC Session 2: July 16- August 3
AGREEMENT

1. California State Law (P.C. Section 11105.3) provides for an employer to obtain records regarding convictions for crimes related to sex, drugs or violence, for any person seeking a position working with minors. Fingerprints and any other data may be required prior to employment.

2. I hereby acknowledge that the information on this application is accurate and complete. I authorize the Wilshire Boulevard Temple Camps to contact any references and examine any records which may attest to my character.

3. I understand that misrepresentation or omission of the facts called for herein, receipt of unsatisfactory references, or failure to submit a completed health form may be sufficient cause for dismissal even if I shall have been employed.

4. I further understand if I shall be employed, either of us may terminate our work relationship if it is felt I will not meet job demands or show an inability to adapt myself to the requirements and duties of my employment.

5. I understand that employment at the Wilshire Boulevard Temple Camps requires work which is physically exerting, on uneven grounds and non-paved, limited access roads.

ESSAYS
Please answer these questions on an additional page, so that we can get to know you a little better before your interview.
1. What skills, talents or experiences do you have that will help prepare you to work at camp?
2. Describe a work/volunteer situation when you feel you failed. What did you learn? What would you do differently if confronted with that situation again?
3. Describe the ideal camp, including programs, activities, overall feeling, and how Judaism fits into that vision.
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