CGI Staff Application

Please fill out ALL relevant information to the best of your ability. Incomplete applications may not be reviewed or accepted. All complete applications will undergo a careful review process, including reference checks. Inquiries can be sent to [email protected]

Full Name*

First Name Last Name

Address*

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

Phone Number*

Area Code Phone Number

Birth Date*

Month Day Year

How did you hear about CGI Staten Island?

Dates Available

Position Applying for*

Provide a record of recent camp work history (paid and volunteer). Include all information including dates, camp, position and names and contact info. of supervisor.
Minimum, one year required.

Year*

Camp Name (City)*

Name and Contact info of Director*

Position*

Year*

Camp Name (City)*

Name and Contact info of Director*

Position*

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

Name and Relationship*

Phone Number*

Email Address*

Name and Relationship*

Phone Number*

Email Address*

Current School/Grade*

CPR/First Aid*

I am certified in CPR/1st Aid through the end of August of this year. I am not CPR/1st Aid certified, and will arrange for my own training I am not CPR/1st Aid certified, and will require training in camp.

I have a valid driver's license

What contributions do you think you can make at Camp Gan Israel?*

What contributions do you think a well-run camp can make to children?*

Are there any details we should know about you and your work habits? (This can include special skills, allergies, illnesses, special food requirements, likes and dislikes or anything else we should know about you. Please elaborate)*

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 elaborate

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 elaborate

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*

Past Work History

References