Staff FAQ NEW STAFF APPLICATION  RETURNING STAFF APPLICATION  FACULTY APPLICATION FORMS




Thank you for taking the time to apply for a position at one of our summer programs. We will be contacting you shortly to discuss the summer in more detail. Please note that only complete application forms will be considered.

Note: Staff positions are filled on a rolling basis. Positions are granted first to qualifying applicants that are able to serve for the entire summer.
NOTE: Fields in red are required.
    POSITION
Locations:     URJ Camp Newman Institute  
  URJ Camp Swig Institute  
  NFTY Travel  
Position:         Dates Available:   
    PERSONAL DATA
First Name:   
Last Name:   
Social Security Number:   
Gender:    Male   Female  
Age:   
Date of Birth:       
Place of Birth:   
Permanent Address Line 1:   
Permanent Address Line 2:   
City:   
State:   
Zip:   
Country:   
Home Phone:   
Work / College Phone:   
Present Address Line 1:   
Present Address Line 2:   
City:   
State:   
Zip:   
Country:   
Present Address Valid Until:  
Address as of May-June: Permanent   Present  
Present Phone:   
Cell Phone:   
Email:   
The best way to contact you is:   
T-Shirt Size:   
Marital Status:  Married   Single   Divorced   Widowed   Engaged  
Spouse's Name:   
Require family to be with you?:    Yes   No  
Children:     M   F   Age:       M   F   Age:       M   F   Age: 
Specify physical limitations:   
Is your acceptance of a job offer contingent
on any other person being with you? 		   Yes   No  
If yes who?   
Citizenship:   
Passport #:   
Date of Issue:   
Expiration Date:   
Dual citizenship      If yes which?  
Driver's License #:   
State/Province/Country:   
Expiration Date:   
Synagogue Affiliation:
Congregation 
Address 
Rabbi 
    EDUCATION HISTORY
Please select the level of education completed at close of current academic year:
College:      Graduate School: 
High School Information:
Name of School: 
Location (City & State): 
Years Attended: 
College Information:
Name of School: 
Location (City & State): 
Years Attended: 
Major/Degree
Graduate Work/ Special Training Information:
Name of School: 
Location (City & State): 
Years Attended: 
Major/Degree 
    MOST RECENT GENERAL EMPLOYMENT EXPERIENCE
Employer:
   Phone:
   Fax:
Address:
   Position:
   Dates:
Salary:
   Responsibilities:
   Supervisor:
    MOST RECENT RELIGIOUS AND/OR SECULAR TEACHING EXPERIENCE
School:
   Phone:
   Fax:
Address:
   Position:
   Dates:
Salary:
   Responsibilities:
   Supervisor:
    REFERENCES
List two people, other than relatives or personal friends, who know you personally. One should be someone who has worked with or supervised you in a Jewish setting, if possible. They should be able to reflect on your experiences/growth this past year. Please give complete names and addresses.
Name:  Address: 
Phone:  Fax: 
Name:  Address: 
Phone:  Fax: 
    CERTIFICATIONS
  Issued By Expiration Date Type
 Lifesaving/Bronze Shield 
 WSI 
 Pool Operator 
 First Aid 
 CPR 
 Small Crafts 
 Ropes Course/Outdoor 
 EMT 
Other Certifications:    
    QUESTIONNAIRE
What are you interested in doing at camp or on a travel program this summer? Please put in order of your priorities.  
Have you taken any recent courses or had recent experiences that would be helpful at camp or on a NFTY travel program this summer? 
Salary/other expectations 
Any other comments 
    MISCELLANEOUS
Have you ever been charged with or convicted of a misdemeanor? Yes   No
If yes, please explain:    
Have you ever been charged with or convicted of a felony? Yes   No
If yes, please explain:    
Have you ever been charged with or found guilty of committing an act of physical, sexual or any other type of child abuse? Yes   No
If yes, please explain:    
    AGREEMENT
Please read carefully before sending this application.
I authorize the URJ and/or its agents to conduct an independent background investigation of me. I further authorize the URJ and/or its agents to request or receive any information pertaining to me including criminal, motor vehicle reports, past employments, education and/or references from any persons, schools, previous employers, or publicly accessible internet websites. I acknowledge that this information may be used by the URJ and/or its agents throughout my hiring process.

The above statements on this form are true. I understand that if employed they will become a part of my personal file and that any mis-statement or falsification of forms may be cause for immediate dismissal.

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