Staff Application Please select one: —Please choose an option—First Session (5 Weeks)Full Summer (7 1/2 Weeks) First Name:Last Name: Street Address:City:State:ZIP Code: Email Address: Cell Number: Phone Number: Birthdate (mm/yy/dd):Current Grade:101112Post HSCurrent Age: High School:Years Attended: Seminary:Years Attended: College:Years Attended: If attending college, will your college / exam schedule interfere with the camp schedule?—Please choose an option—YesNo What camps have you attended as a camper? Camp:Years There: Camp:Years There: Camp:Years There: What camps have you attended as a staff member? Camp:Years There:Position: Camp:Years There:Position: Camp:Years There:Position: List any other work-related experiences: What type of position are you applying for? (List in order of preference) If applying as counselor, what age group would you prefer? (We can not guarantee any age group) References: Name:Position: Phone:Email: Name:Position: Phone:Email: Name:Position: Phone:Email: If you are only applying for one month, what are your plans for the other month? (If applying for full summer, write n/a) Do you hold a current lifeguarding certificate? If yes, please describe. Do you play a musical instrument? If yes, please describe. Do you have any other special talents? If yes, please describe. What do you think a counselor's job in camp should be? Why did you choose to apply to Camp Dina? Please check those activities that you can teach as an expert, and those in which you can assist in teaching: Expert Assist Yes Yes Archery Yes Yes Arts & Crafts Yes Yes Sports Yes Yes Wilderness (Hiking/Camping) Yes Yes Night Activities Yes Yes Shiur Expert Assist Yes Yes Choir/Dance/Drama Yes Yes Scenery/Costumes/Painting Yes Yes First Aid / Infirmary Yes Yes Kitchen / Canteen Yes Yes Photography/Video Yes Yes Tech (Sound System/Computers)