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Camp Gan Israel

Summer 2022

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Counselor Application Form

Contact Information:
Full Name:*
First NameLast Name
Social Security Number:*

Address:*

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

Home Phone:*
Area CodePhone Number
Cell Phone:*
Area CodePhone Number
E-mail:*
DOB:*
MonthDayYear
Previous Camp Experience:
Please write your Position, Contact Person & their email address
Position 1:*
PositionContact NameEmail Address
Position 2:
PositionContact NameEmail Address
Position 3:
PositionContact NameEmail Address
Details:
If you are not available for the entire summer, please indicate what dates you are available for work.
Should be Empty:

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