Camp Wise Staff Application

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Name:		Position Sought:
Birthdate (m/d/y):		Age as of June 1
	M F	Social Security #:
E-mail		Cell Phone:

Permanent Address		School Address (if different)
Street:		Street:
City, State, Zip:	, ,	City, State, Zip:	, ,
Country:		Country:
Phone #:		Phone #:

Education
	Name of School	Dates Attended	Degree/Major	Year Entering Next Fall
High School
College
Graduate School
Other Education

Employment/Volunteer Experience
Organization	Title/Position	Dates of Employment	Salary

Camp History
Camp	Years as Camper	Years as Staff	Positions Held (if on staff)

Group Membership/Leadership
Name of Group	Purposes/Activities	Title or Position Held	Dates of Involvement

Skills and Training
Beside each activity, put a (1) if you are appropriately skilled to teach or a (2) if you can assist others. Leave the line blank if you have no skill or interest in this activity.
Watersports	Arts		Landsports	Nature and Tripping	Jewish Programming
Canoeing	Jewelry-Making	Crafts	Archery	Backpacking	Jewish music
Kayaking	Batik	Pottery	Horseback Riding	Overnight Trips	Hebrew
Jet-Skiing	Woodwork	Tie Dye	Basketball	Fire-building	Teva (Jewish Nature)
Swimming	Hip Hop Dance	Drawing	Tennis	Ropes Course	Israeli Dance
	Drama		Soccer	Climbing Tower	Israeli Culture
	Musical Theater		Volleyball	Outdoor Cooking	Jewish Cooking
	Songleading		Baseball	Nature	Leading Services
	Guitar		Mountain Biking
	Radio		Ultimate Frisbee
	Photography		Hockey
	Video		Gymnastics

Do you have any skills or certifications not listed here? (Please include Lifeguarding, CPR, First Aid and WSI)

Please share below any other skills or talents (including musical instruments) you posses that could be utilized at camp.

References (Present or former employer, school advisor, teacher, camp supervisor, Rabbi. Not friends or relatives)
	Reference #1	Reference #2	Reference #3
Name
Address
City/State/Zip
Phone
Relationship to You
* Please download reference letters from our website and have your references send the forms directly back to the Camp Wise office.*

Short Answer Questions
Please answer the following questions briefly.
1.	How did you hear about Camp Wise?
2.	Describe your strengths and weaknesses working with children.
3.	List (5) adjectives that others (family, friends, teachers, employers) use often to describe you.
4.	Describe why you want to work at Camp Wise? What do you hope to contribute? What do you hope to gain?
5.	Tell us why you are qualified for the position for which you are applying?
6.	What do you think our goals are for the children coming to camp and how can you help us meet these goals?
7.	What is a valuable life lesson you have learned recently?
8.	How might campers and staff describe you during/after this summer?
If you were an SIT, please also answer the following questions.
1.	What is something you learned last summer as an SIT that will make you a stronger staff member this year?
2.	What is something that you would like to improve about your own abilities this summer?
3.	What is one thing about camp last summer that you liked, and what one thing would you like to see done differently?
4.	What advice would you give to an incoming SIT?
5.	What is one thing you would do to improve the SIT program?

Applicant Verification Required

Have you been convicted of any felony within the past ten years? If so, please describe the circumstances. (Please note: an affirmative response will not necessarily disqualify you from the position for which you have applied.)

Are there any reasons you may not be able to perform any of the major duties of the job for which you have applied? If so, how can we accommodate you so you can perform the major job-related duties? (Note: The JCC is an equal employment opportunity agency, and will make reasonable accommodations for disabilities.)

I acknowledge that the information I have provided on this application is truthful, to the best of my knowledge. I understand that deliberate falsification of information is grounds for dismissal.

I authorize the Mandel Jewish Community Center of Cleveland, or any of its agents, to make written or oral inquiries of any of my former employers, references, doctors, or any other schools which I attended, or any law enforcement authorities or agencies or hospitals, concerning any information given by me in my application. I give permission for the Jewish community Center to complete any background investigation required for employment.

By checking this box, I verify that I have read and agree to all statements enclosed in this application:

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