Staff Application – Juniors Division

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*

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 size

Will you require transportation on SDC buses?

Yes

Position Requested*

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 EXPERIENCE

Institution'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)*

EDUCATION

School Name*

Location*

Dates Attended*

School Name*

Location*

Dates Attended*

2 REFERENCES OTHER THAN RELATIVES OR FRIENDS

Name*

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*

This field is for validation purposes and should be left unchanged.

Registration is now open!

Staff Application Juniors Division

We Look Forward To Meeting You