Staff Application - Chabad Lubavitch of Fountain Hills

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.
Full Name*

First Name Last Name
Social Security Number:

Permanent Address:

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

Phone Number*

Area Code Phone Number
E-mail*
Birth Date*

Month Day Year
Dates Available
What type of position do you want?
Where did you hear about Camp G.R.O.W.?*
Note: We will only review applications that have Phone Numbers for References.

Past Work History - Provide a record of all relevant employment (paid and volunteer). Include position of camp staff and names and contact info. of supervisor.
Camp City and Supervisor Name 1:*
Dates:*
Your Position:*
Phone & Email*
Camp City and Supervisor Name 2:*
Your Position:*
Dates:*
Phone & Email*
Camp City and Supervisor Name 3:*
Your Position:*
Dates:*
Phone & Email*
Character References - Give names and contact info. of two persons (not relatives) having knowledge of your character, experience, work habits and ability.
Reference 1:*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Reference 2:*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Education - Please list High School and Seminary/College Education, and References' names and contact info.
School/Seminary*
Year(s):*
Reference Name*
Phone/Email*
School/Seminary
Year(s):
Reference Name
Phone/Email
School/Seminary
Year(s):
Reference Name
Phone/Email
Current Grade:
If you are applying as a group, please list the other members of your group here:
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.
Driver's License

I have a valid driver's license.
State:
What contributions do you think you can make at Camp G.R.O.W.?
What contributions do you think a well-run camp can make to children?
What age children do you prefer working with? (Check ALL that apply)

Grades 5-6 Grade 7 Teen Camp
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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.

Note: We will only review applications that have Phone Numbers for References.