Staff Application Boys Division We Look Forward To Meeting You Please tell us a little about yourself and we'll give you a call. Click here to upload a photo*Max. file size: 512 MB.Last Name*First Name*Date of Birth* MM slash DD slash YYYY AgeStreet*City*State*Zip Code*Applicant’s Email* Home phone number*Applicant’s Cell*Mother's cell*Current Grade*Grade Entering*Referred By*Mother's email* Select T-shirt sizeASAMALAXLA2XLWhat age group would you prefer to work with?No Preference1st-3rd grade4th-7th gradeThis does NOT guarantee placement in chosen selectionWill you require transportation on SDC buses? Yes No Are you interested in being a bus counselor? Yes No If you use SDC Busing, you may be required to be a bus counselorPosition Requested*J.C. (finishing 10th grade)Counselor (finishing 12th grade)Waiter (finishing 10th grade)Lifeguard (certified lifeguard)Canteen (finishing 10th grade)Shadow (finishing 10th grade)Applying for camp dates:Camp Session* Full: July 1 - August 20 First Session: July 1 - July 25 Second Session: July 28 - August 20 All staff that are NYC residents ages 16-24 are required to apply for Youth Corp.CAMP / WORK EXPERIENCEInstitution's Name*Position Held*Dates Worked*Supervisor's Name*Phone*Institution's Name*Position Held*Dates Worked*Supervisor's Name*Phone*List the last position you had in camp (ex. 2nd year J.C. or 3rd year counselor)*EDUCATIONSchool Name*Location*Dates Attended*School Name*Location*Dates Attended*2 REFERENCES OTHER THAN RELATIVES OR FRIENDSName*Address*Phone Number*Email* Relationship*Name*Address*Phone Number*Email* Relationship*CAMP POLICY You are required to work daily from 8:30 am until 4:30 pm, and attend a pre-camp orientation deemed necessary for a successful camp operation. There are no off days. All male staff will be obligated to attend Minyan and the shiurim or learning periods provided by the camp. All staff will be obligated to abide by the dress code maintained by Simcha Day Camp. Shorts may only be worn after 11:00 am. Staff camp t-shirts must be worn at all times. Haircuts must conform to an acceptable length and style for a Torah environment. Tzitzis and yarmulke or baseball cap are expected to be worn at all times, and no flip flops may be worn. Your job responsibility may include participation in occasional overnights and late nights for your group, camp trips, participation in late (after camp hours) afternoon supervisory meetings as necessary, and in other activities deemed necessary for a successful camp operation. Upon acceptance, you will be required to obtain a TB test and a medical examination. You will need to provide a completed medical form, working papers, an I9 and a W4. Without this documentation, you will not be able to get paid. I have read, and I understand and agree to all camp policies as written on this application form. Signature*CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ