Returning 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?
Are you a U.S. Citizen? Yes No
If not U.S. Citizen, what country are you a citizen from?:

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
ESSAYS
Without using your job title, in one sentence, please state what you did last summer.
What was the most beneficial program of staff week? What was a program or subject during staff week that we missed?
Why do you want to work with kids this summer? Give an example.
What was the most challenging moment this summer, a moment where you failed? What did you learn? How did you solve it?
Are there any specific units, areas or projects that you would be interested in, should you be hired.
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.

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