Apply Now for An Experience of A Lifetime!

To Apply for a counselor position in Camp Gan Israel of Northern Virginia please fill out the following form:

Staff Information
Name
   First
Middle Last  
Address
   Street
City State
Zip
Date of Birth
    
Contact Info
   Phone
Email
 
Previous Camp Experience   Camp:
 Year: Position:
    Camp:
 Year: Position:
 
   Camp:
 Year:

Position:
 
Emergency Contact Info
   Name
Phone Relationship  

 

 

Please list 2 References (preferably past camp directors) 

 

  

What Grade are You In?

 

Name 

Name
 

Applying with a Group? Please list their names here.

Camp is 8 weeks. Are you able to attend all 8 weeks?

What School Do you go to?



Phone

Phone
 

  

 

 
Questions:
What do you expect from this Summer?
What are your strengths?
What is your preferred age group?
 Additional Comments  

 

Harassment - The camp's policy is to prohibit all forms of harassment by our employees.  This includes sexual, racial, religious, and other forms of harassment.  Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior accusation or conviction is not an automatic bar to employment.  The type of conviction or accusation and when it occurred will be evaluated by the camp before any decision is made.) 
Yes    No 
Explain: 

Criminal Record - Have you ever been convicted of a violent crime, a crime against children or any other crime other than a minor traffic offense?  If yes, please describe.  (Note:  We do not request information about those convictions which have been sealed, or expunged, or statutorily eradicated. A prior conviction is not an automatic bar to employment.  The type of conviction and when it occurred will be evaluated by the camp before any decision is made.) 
 Yes    No 
Explain: