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Staff Application

Apply Now for An Experience of A Lifetime!
To Apply for a staff position in Camp Gan Israel of South Broward please fill out the following form:
1. Information
Name*
First NameMiddle NameLast Name
Birth Date*
MonthDayYear
Gender*
MaleFemale

Address*

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

E-mailPrimary email
Cell Phone
Area CodePhone Number
3. Emergency Information
Emergency Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
Emergency Contact E-mail
Relationship*
Phone Number
Area CodePhone Number
Current School
School NameGrade CompletingPrincipal
Previous camp experience
What are your Strengths?
Please give us 3 references.
1. Full Name
First NameLast Name
Phone Number
Area CodePhone Number
E-mail
2. Full Name
First NameLast Name
Phone Number
Area CodePhone Number
E-mail
3. Full Name
First NameLast Name
Phone Number
Area CodePhone Number
E-mail
Should be Empty:

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