New JLI course Survival of a Nation starts 10 May
Printed from ChabadSouthAfrica.org

Counselor application

Counselor application

 Email

Please fill out the form below.

First Name
Last Name
Cell #
Email Address
Home Address
Age
Grade
Valid driving license
Qualified Life Guard
Qualified in First Aid
School
If part of a group names of other staff applying with you
Which camp are you applying for:
Are you interested in main camp or kiddie camp
Camp Experience
Camp Name Location Directors Name Position held


Please provide 3 references who are not related to you

Reference 1
Name
Email
Cell
In what capacity do they know you?
Reference 2
Name
Email
Cell
In what capacity do they know you?
Reference 3
Name
Email
Cell
In what capacity do they know you?

 Email