MIAMI BEACH JCC CAMP KLURMAN On the Simkins Family Campus
2020 APPLICATION FOR CAMP Counselor in Training Program (CIT) IMPORTANT NOTICE: If you need assistance in completing this Application, please consult the Camp Director. The Miami Beach Jewish Community Center (the “MBJCC”) conducts a detailed background and pre-employment investigation process. This process may disclose inaccurate, false and/or incomplete or omitted information provided by you in this Application. Should this process determine any inaccurate or incomplete information, it could result in your either being disqualified from employment as an applicant, or termination if the inaccuracies are discovered subsequent to your employment.
The Counselor In Training Program (CIT) is a rewarding, challenging and fun training program. The CIT program is for those entering 9th grade and are ready for a new challenge of hands-on leadership. Our CITs are individually selected because they have demonstrated the strong potential to successfully make the transition to staff member because of their maturity, responsibility, good judgment and teaching potential. The CITs will learn from our experienced counselors, rotate throughout all our camps, learn the process of filling out a job application and learn interview skills. The benefits of participating in the Counselor in Training (CIT) program are endless! Upon completion of the program, all CITs are awarded with a certificate and a reference letter to use for future jobs. PERSONAL INFORMATION (PLEASE PRINT CLEARLY)
Date_______________________________
Social Security #: ___________________________________________________________________ D.O.B: __________________ Age: _________ Email:______________________________________ First Name:____________________________
Last Name:______________________________
Permanent Address: ________________________________________________________________ (Number and Street) City State Zip Home Telephone: ___________________________ Cell Phone: _____________________________ CIT QUESTIONS Have you ever attended Camp Klurman?
____Yes
____ No
If yes, what was your favorite camp activity: ______________________________________________ Why are you applying to be a CIT?_____________________________________________________ Last day of school/finals? ____________________________________________________________ When are you available to begin the program? ____________________________________________ How many weeks are you available to participate in the CIT program (please check off below): ___ Pre Camp (June 8-12)
___ Week 1 (June 15 – 19)
___ Week 2 (June 22 - 26)
___ Week 3 (June 29 – July 2)
___ Week 4 (July 6 - 10)
___ Week 5 (July 13 - 17)
___ Week 6 (July 20 - 24)
___ Week 7 (July 27 – 31)
___ Week 8 (Aug 3 - 7)
___ Post Camp (Aug 10 - 14)
How did you hear about the MBJCC CIT Program? Parent ____
Friend ____
Camp Email ____
Flyer in Center ____
Other ________________
EDUCATION School attending ____________________________________ Current Grade: _________________ Jewish Education List all formal or informal experiences: ___________________________________ ________________________________________________________________________________ Extra-Curricular Activities or Organizational Affiliations or sports participating in: ________________________________________________________________________________ ________________________________________________________________________________
OTHER CAMPS ATTENDED Year(s) attended
Name of Camp
Camp Location
Year(s) attended
Name of Camp
Camp Location
Year(s) attended
Name of Camp
Camp Location
1. List any leadership qualities you feel you have: _______________________________________________________________ __________________________________________________________________________________ 2. Please describe your experience working with children and/or summer camp. __________________ __________________________________________________________________________________ 3. What contribution can you make to the CIT Program?________________________________ __________________________________________________________________________________
REFERENCES List three adults who can comment on your level of responsibility and skills: Name Relationship Years of Acquaintance Phone # Email 1. _______________________________________________________________________________ 2. _______________________________________________________________________________ 3. _______________________________________________________________________________ Please return this form to: Camp Klurman at the MBJCC 4221 Pine Tree Drive Miami Beach, Fl 33140 Phone: 305-534-3206 x210 Website: www.mbjcc.org E-mail: camp@mbjcc.org