Applying forCIT 1 (Entering 9th)CIT 2 (Entering 10th)CIT 3 (Entering 11th)Junior Counselor (Entering 11th)Counselor (Entering 12th + )Pre School Assistant (18 years Plus)Full NameFirst NameLast NameHome NumberArea CodePhone NumberCell NumberArea CodePhone NumberE-mailAddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryBirth Date1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920YearGenderMaleFemaleCurrent Grade and SchoolT-shirt SizeSmallMediumLargeExtra LargeHow did you hear about CGI of Cherry Hill?Camp runs from June 27 - August 18*Minimum application 4 weeksI can attend full summerFirst Four WeeksSecond Four WeeksWork ExperienceProvide a record of recent camp work history (paid and volunteer). Include all information including dates, camp, position and names and contact info. of supervisor. Or write NA if this is your first summer work experience.Job 1 YearJob 1 Camp NameJob 1 Director Name and ContactJob 1 PositionJob 2 YearJob 2 Camp NameJob 2 Director Name and ContactJob 2 PositionReferencesGive names and contact info. of at least two people (not relatives) having knowledge of your character, experience, work habits and ability.Relationship 1Full Name 1First NameLast NamePhone Number 1Area CodePhone NumberE-mail 1Relationship 2Full Name 2First NameLast NamePhone Number 2Area CodePhone NumberE-mail 2Questions about yourselfPlease tell us something about yourself that sets you apart and makes you most fit for this job.What do you foresee yourself enjoying most this summer?What age and gender do you prefer working with? and why?Please share one or two things your Head Staff can do to support your success, and one or two things they can do to upset you.The CGI experience is based on a trust relationship. Please share one or two things that you can do to build a trusting relationship with your Head Staff, and one or two things you can do to remove the trust.Are you solution oriented? Please explain.Staff at CGI are hired to care for their specific bunk, and they play the general role of a leader. In your own words, please describe the responsibility you will assume as a leader.Some of your hobbies and skills can add a special touch and help in our camp setting. Please let us know some of those things you like to do .SingingActtingDancePhotographyMusical InstrumentGraphicsArtCircusPlease let us know If you have any certifications that will be current for the summerLifeguardCPRFirst AidDo you have any medical issues that we should be aware of? Any allergies or special diet needs?*LegalitiesHarassment - The camp's policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and all other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior accusation or conviction is not an automatic bar to employment. The type of conviction or accusation and when it occurred will be evaluated by the camp before any decision is made.) Please Indicate*YesNoCriminal Record - Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe. (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.)Please Indicate*YesNoAuthorization to InvestI authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp. Full Name*First NameLast NameDate*1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920YearShould be Empty: Submit This page uses TLS encryption to keep your data secure.