Staff Application Juniors Division Female Staff Only 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 Age Street* City* State* Zip Code* Applicant’s Email* Phone*Applicant’s Cell*Mother's cell*Current Grade* Grade Entering* Referred By* Mother's email* Select T-shirt sizeASAMALAXLA2XLWill you require transportation on SDC buses? Yes No Position Requested*J.C. (finishing 10th grade)Counselor (finishing 12th grade)MorahSpecialty (art, music, sports)Applying for camp dates:Camp Session* Full - July 2-August 22 First session - July 2- July 26 Second Session: July 29-August 22 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 staff will be obligated to abide by the dress code maintained by Simcha Day Camp. • Staff camp t-shirts must be worn at all times, and skirts must fully cover the knees. • Your job responsibility may include participation in camp trips, participation in late (after camp hours) afternoon supervisory meetings as necessary, bus supervision, 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* EmailThis field is for validation purposes and should be left unchanged. Δ