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To apply for a counselor position at Gan Izzy Day Camp of Bucks County, PA, please fill out the following form below.

Position applying for:*

Other (Please Explain)

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Phone Number

Area Code Phone Number

Home Phone Number

Area Code Phone Number

E-mail

School

Grade

Gender

Female Male

Date available to do camp

How did you hear about Gan Izzy?

Are you applying with a group?

Yes No

If yes, who is in your group

Do you have a drivers license

Yes No

Provide a record of recent camp work history or working with children (paid or volunteer).

Please include below year worked, camp name, City and State, Name and contact information for the Director, and your position.

Past Experience working with children

References of at least two people (not relatives) who have knowledge of your character, experience, work habits and ability. Working with children references are preferred.

Full Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

Relationship

Full Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

Relationship

What do you expect from this summer at Gan Izzy?

What are your strengths?

What is your preferred age group?

The camp's policy is to prohibit all forms of harrassment by our employees. This includes sexual, religous, and all other forms of harassment

Have you ever been accused of harassment of any person including, but not limited to, workplace harassment?

Yes No

If yes, please explain:

Have you ever been convicted of a crime, other than a minor traffic offense?

Yes No

If yes, please explain:

Have you ever been expelled from school?

Yes No

If yes, please explain:

I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all other from liability in connection with the 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 camp designated official. I also understand that untrue, misleading, or omitting information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp.

Name

First Name Last Name

Date

Month Day Year

Staff Member Application

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Apply Now for An Experience of a Lifetime!

Work History

References

Reference 1

Reference 2

Tell us about yourself

Background Check

Authorization to Invest