Staff Application Form - Camp Gan Israel-Salt Lake City

Group Primary Contact*
First Name Last Name
Preferred Contact Method*
Email/Number*
Staff Member Information
CGISLC takes a group of 6 girls - 5 counselors (preferred finishing 11th grade), and 1 HC (minimum graduated 12th grade).
At the moment, do you have all 5 of those spots filled?*

YesNo
Head Counselor: (please include Name, Grade 5786, School, Hometown)
Counselor 1: (please include Name, Grade 5786, School, Hometown)
Counselor 2: (please include Name, Grade 5786, School, Hometown)
Counselor 3: (please include Name, Grade 5786, School, Hometown)
Counselor 4: (please include Name, Grade 5786, School, Hometown)
Counselor 5: (please include Name, Grade 5786, School, Hometown)
The first day of CGISLC 5786 will IYH be Monday, June 22 (Zayin Tammuz). All staff must be in Salt Lake City before Shabbos, June 20.
Will those dates work for your group?

YesNo
Should be Empty:

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Staff Member Information