Apply Now for An Experience of A Lifetime!

To Apply for a counselor position in Camp Gan Izzy of Bucks County please fill out the following form:

Position applying for:  Other (Please explain) 
Last Name:  First name: 

Address:  City: State:  
Cell Phone:  Home Phone: 
Email: 

Grade:  Gender: Male Female T-Shirt Size: 

Dates Available: From   To  
How did you hear about Gan Izzy?  
Are you applying with a group? Yes No 

Past Work History 
Provide a record of recent camp work history or working with children(paid and volunteer). Include all information including dates, camp, position and names and contact info. of supervisor. 
 

Year

Camp Name, City & State

Name & Contact info of Director

Your Position

 References 
Give names and contact info. of at least two people (not relatives) having knowledge of your character, experience, work habits and ability.

Name

Phone Number

Email Address

Relationship

Current School/Job  Grade/Position  
CPR/1st Aid Certification  
 
I am certified in CPR/1st Aid through the end of July of this year.  

What do you expect from this summer at Camp Gan Izzy? 

What are your strengths?

What is your preferred age group?

Harassment - The camp's policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and all 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 
If yes, please explain:  

Criminal Record - Have you ever been convicted of a crime, other than a minor traffic offense?  If yes, please describe. (Note: 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 
If yes, please explain: 

Authorization to Invest  
I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp. 
Name:  Date: