Staff Application

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Personal Information
Name*
First Last
Hebrew Name*
Address*
City*
State*
Zip*
Gender*
- Male
- Female
Home Phone*
Cell Phone*
Email*
Level of Spoken Hebrew*
Level of Spoken English*
Birth Date*
MM
DD
YYYY

Applicants must be 20 years old as of July 1, 2017
Education
High School
Name of High School*
High School Location*
Post High School Institution
Name of Post High School Institution*
Location of Post High School Institution*
Hadracha Experience
Please write previous experience. Please make sure to include dates and ages of children*
Program Preference
We will be running 2 programs in Summer 2017.
Camp Koby Summer in Israel Experience - Co-ed program for religious participants
Teen Camp in Israel - Co-ed program for non-religious participants
First Choice*
Second Choice*
Position Preference
First Choice*
Second Choice*
Army/Sherut Leumi
Service*
Start Year
End Year
Job/Position
Rank
Current Occupation
Place of Work
Job/Position
Description of Job
Recommendations
Recommendation 1 - Name*
Recommendation 1 - Relationship*
Recommendation 1 - Phone Number*
Recommendation 1 - Email*
Recommendation 2 - Name*
Recommendation 2 - Relationship*
Recommendation 2 - Phone Number*
Recommendation 2 - Email*
Special Talents
Please add any information about special talents you may have (First aid, Chovesh, Tour guide, Musician etc.)
Please Upload a Current Photo
We will invite you to an interview based on your application form. Only relevant applicants will be invited.
Thank you for applying!

Personal Information