BH

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Personal Information

First Name:
Last Name:
Hebrew Name:
Age:
Phone Number:
Email Address:
Home Address:
Father's Name:
Mother's Name:
Mother's Hebrew Name:

Yeshiva Information

Yeshiva:
Shiur/Grade:
Magid Shiur (Teacher):
Magid Shiur's Phone Number:

Past Experience

Have You Been a Staff Member in the Kinus Before?
Do You Have Any Previous Camp Experience?
If you chose yes, which camp?
What Position(s)?
Who Was The Head Counselor(s) in Camp?
What other child care experience have you had?
Are you certified in CPR or First Aid?

Position Application

Position:
If you chose counselor: 
Co-Counselor
Why would you like to be a staff member in the Kinus?
Reference 1:
Reference 2:
Notes: