Dear Applicant, Thank you for your interest in working at the Suffolk Y Jewish Community Center Camps. The Y is committed to excellence in camping. After your application is reviewed, you will be contacted regarding an appointment for an interview.

**Please fill in ALL fields. If not applicable, put "NA" in the field.**

Name

Address

Social Security

Business Address

Salary Required



 		Phone Number

Zip Code

Occupation

Business Phone

Email Address

Education Name of School Year Major Degree
High School
College
Graduate School
Special Training
Jewish Education
Jewish Background

Why do you want to work in Camp?

Why do you want to work at the Y ?

How did you hear about us?

Why do you want to be a group leader?

What are your vocational interests (if a student)?

Have you ever been convicted of a felony?

If Yes, explain:

Work Experience:
List experience related to the position for which you are applying.

A. Camp Address/City Employed From/To Position Salary
1.
2.

B. Community Center/Y Address/City Employed From/To Position Salary
1.
2.

C. Other related work or leadership experience
1.
2.
3.

References
Please list at least two people, other than relatives, who know your ability.
1. Former Camp Supervisors Address/City Position
a.
b.
2. Employment Address/City Position
a.
3. School References Address/City Position
a.
b.

 

I affirm that the information I have provided is, to the best of my knowledge, accurate.