First Name:

Last Name:

Legal Name:

Best phone number to reach you on: (123-456-7890):

Do you have texting? Please select Yes No

WhatsApp? Please select Yes No

Email:

Street Address:

City:

State:

ZIP Code:

Birthday:

Sweatshirt Size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large

Current Grade:

School:

If entering seminary which one:

Sessions you are applying for: -- Please Select -- 1st Half 2nd Half Full Summer
*Please be aware that there is a staff meeting prior to the start of both sessions which is mandatory for all staff members to attend

Any preferences on which Grade you want to work with?

What are you going to be for the other half?

Are you applying with a friend? If yes, who?

Previous camp experience:

Any other work experience?

What activity do you enjoy most:

Your favorite camp memory:

How did you hear of us?

Reference Name:

Reference's Number (123-456-7890):

Reference Name:

Reference's Number (123-456-7890):

Any special requests:

Important things you should know:

• Tznuis guidelines (cover your collarbone, knees and legs at all time. Counselors are expected to serve as role models to their campers)
• We ask that each counselor make 2 nachas calls every week
• Every staff member must hand in a W4 form in order to get paid, as well as Medical Form and Work papers in order to work in Camp.
• Anyone staff member over the age of 16 and lives in the city (Far Rockaway, Bayswater, Queens, Brooklyn...) needs to apply to Youth Core. Please file the camp name under “Camp Revach”.
• All staff is required to attend daily staff meetings 1/2 hour before the kids come, 8:30AM.

When finished filling out this application please be in touch with Mrs. Singer to schedule an interview. She can be reached on her cell phone 618-4-REVACH. Best way to get in touch is to text. All interviews take place at her house: 306 Felter Ave, Hewlett, NY 11557