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Staff Registration
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Camp Migdal
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Staff Registration
Staff Registration is open for the 2015 season.
Applying for:
*
Whole Summer (June 29-August 17)
1st Half (June 29-July 21)
2nd Half (July 21-August 17)
Date
*
MM slash DD slash YYYY
Social Security#
*
Full Legal Name
*
First
Last
Name you would like to be called if different than legal name
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
*
Email Address
*
Place of Work
Current grade at time of interview
*
Age
*
Date of Birth
*
MM slash DD slash YYYY
Position sought
*
Counselor
Rotator
Waitress
Photographer
Mothers Helper
Nurse's Aid
Why are you interested in this position?
*
Do you have any experience with children with special needs?
Yes
No
Yes? Please explain
*
Please list your camping experience
Camp
Position
Years(s)
Camp
Position
Years(s)
Camp
Position
Years(s)
Do you have CPR certification?
*
Have certification
Never took CPR
Expired
CPR Certifications Expiration
*
MM slash DD slash YYYY
Education: (List high school, college and graduate or specialty schools.)
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Untitled
Date
MM slash DD slash YYYY
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Contact Us
Camp Migdal
1274-49th Street #5900
Brooklyn, N.Y. 11219
(718) 313-0264
info@campmigdal.org
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