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 ?

Why do you want to be a Unit Head?

Are you available to work all 8 weeks? (Yes/No)

If not, what weeks are you NOT available?

What age group are you interested in working with?

How did you hear about us?

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.