Staff Member Application | Machane Gan Yisroel

Staff age requirement:

Counselors: completed 12th grade with past counselor experience.
We are hiring 3 additional counselors.

To apply for a staff position in Machane Gan Yisroel Chicago please fill out the following form:

Applicant Information
Legal Name		First	Middle	Last
Permanent Address		Street	City	State	Zip
Date of Birth					Age
Contact Info		Phone	Email
Emergency Contact Info		Name	Phone	Relationship
Work History and Experience Provide a record of all relevant employment (paid and volunteer). Include position of camp staff and names and contact info. of supervisor.
1.		Camp:	Year:	Position:
		Director/Supervisor:	Director/Supervisor Phone Number:
2.		Camp:	Year:	Position:
		Director/Supervisor:	Director/Supervisor Phone Number:
3.		Camp:	Year:	Position:
		Director/Supervisor:	Director/Supervisor Phone Number:
Current Position		School/Employer Name:	Position:
Character References Give names and contact info. of two persons (not relatives) having knowledge of your character, experience, work habits and ability.
		Name:	Phone:
		Name:	Phone:
Other Information
Driver License		I have a valid Driver's License	Driver License State:	Driver License Number:
CPR/1st Aid Certification		I am certified in CPR/1st Aid through the end of July of this year. I am not CPR/1st Aid certified, and will require training in camp. I am not CPR/1st Aid certified, and will arrange for my own training.
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: 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:
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: