Wilshire Boulevard Temple Camps logo

Returning Staff Application

STEP 1

To apply to be a Staff Member at the Wilshire Boulevard Temple Camps, please complete the form below.

Note that on the second page of the application you are required to upload a current photo of yourself.

Personal Information
* First Name
Middle Initial
* Last Name
* Date of Birth
* I will be 21 by the beginning of camp Yes   No
Sex M   F  
Social Security #
Phone
* Cell Phone
* Email Address
T-Shirt Size
* Drivers License Yes   No
Driver's License #
Driver's License State
Permanent Address
* Line 1
Line 2
* Permanent City
* Permanent State
* Permanent Zip
* Permanent Country
College Address
College Address Line 1
College Address Line 2
College City
College State
College Zip
College Country
Send mail to  Permanent Address
 College Address
SCHOOL
Name of School
Major
Dates at College from: to:
Graduation
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 arrested for, or charged with, or convicted of any crime, including but not limited to a sex-related or a 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?
Position Applying For (e.g. Counselor, Unit Head, Ropes Course Specialist)
I'm available to work...
CHK Session  Session 1: 6/23-7/11
 Session 2: 7/14-8/8
 Session 3: 8/11-8/22
GHC Session  Session 1: 6/23-7/18
 Session 2: 7/21-8/8
ESSAYS
What are some ideas for making meal times more engaging and fun?
What are the goals of Shiur and Na'aseh v'Nilmad (pick one of the two)? What works and what does not?
What was the most creative cabin activity you did last summer?
Who did you learn the most from last summer? What did you learn from that person? As a returning staff member, how can you be a teacher?
How is the Israel programming we do effective? How could it be better?
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.
Yes No

* 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.
Yes No

* 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.
Yes No

* 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.
Yes No

* 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.
Yes No

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