TVI Leadership Training Seminar
STAFF APPLICATION

The items marked with an asterisk * are required.

Please note: To move from field to field press the TAB key.

(this page is best viewed in Microsoft Explorer.
If viewed in Netscape, it is best viewed at a screen
size of 768x1024)

  • PERSONAL INFORMATION
*Last Name:
First Name:
Are you a US citizen?: yes no
Social Security:
If NOT a USA Citizen,
Country of Citizenship:
Home Address:
Number and Street:
City:
State:
Zip:
Country:
Telephone:
Cell-Phone:
*E-Mail:
If applicable:
School Attending Presently:
School Address:
No.and Street:
City:
State:
Zip:
Country:
School Telephone:
School E-Mail Address:
Male Female
Age:
Date of Birth:

  • BNEI AKIVA/MOSHAVA CAMP EXPERIENCE:

    • Have you worked in Camp Moshava? yes no
    If yes, in which Moshava:
    Job Assignment - 1st Summer:
    Year: How many months:
    Job Assignment - 2nd Summer:
    Year: How many months:
    Job Assignment - 3rd Summer:
    Year: How many months:

  • EXPERIENCES AT OTHER CAMPS (including Moshava)::

    • Camp Name & Location: Position (including as a camper): Director of Camp: Salary: Year:

  • EDUCATION

    • School of Study Name and Location of School Course No.of years completed Did you Graduate? Degree
    High School yes no
    College yes no
    Graduate Work yes no
    Special Training yes no

  • WORK EXPERIENCE:

    • #1
    Company Name:
    Location:
    Telephone Number:
    Name of Supervisor:
    Describe Your Work:
    Dates of employ:
    Pay:
    Reason For Leaving

    #2
    Company Name:
    Location:
    Telephone Number:
    Name of Supervisor:
    Describe Your Work:
    Dates of Employ:
    Pay:
    Reason For Leaving

    #3

    Company Name:
    Location:
    Telephone Number:
    Name of Supervisor:
    Describe Your Work:
    Dates of Employ
    Pay
    Reason For Leaving

  • GENERAL INFORMATION:

    • Have you been to Israel?: yes no
    What Years?:
    On What Programs:
    Bnei Akiva Member?: yes no
    What Shevet?:
    Have you attended TVI: yes no
    (What year):
    Mach Hach B'Aretz?: yes no
    (What Year):
    (Rosh Bus:):
    Married: yes no
    List:
    Children's Names: Age: Sex:
    Were you ever convicted of any crime including sex and child abuse related offenses? yes no

  • REFERENCES (VERY IMPORTANT!):

    • Please list three persons (OTHER than friends or relatives) that we can contact for references:
    #1
    Name:
    Address:
    Telephone #:
    Relationship:
    Length of Relationship:
    #2
    Name:
    Address:
    Telephone #:
    Relationship:
    Length of Relationship:
    #3
    Name:
    Address:
    Telephone #:
    Relationship:
    Length of Relationship:

  • SPECIAL SKILLS/TALENTS

    • Please list and describe any skills or talents (Music, art etc.) and any relevant extracurricular and leadership oriented activities:

    Are you a certified lifeguard?
    Credentials and Expiration Dates:

    (Attach photocopies of current certificates to the application)

  • EMERGENCY INFORMATION:

    • Mother's Name:
    Father's Name:
    Spouse's Name:
    Mother's Work Number:
    Father's Work Number:
    Spouse's Work Number:

    In case of emergency and either of your parents, or spouse are not available, please notify:
    Name:
    Address:
    City,State,Zip:
    Telephone:
    Relationship:
    Hospital Insurance:
    Carrier and Number
    Major Medical Insurance:
    Carrier and Number

    TVI is a leadership training seminar that aims to prepare its participants for a leadership role in the Jewish community at large as well as in the camp setting.

    Describe your vision of effective Jewish and Religious Zionist leadership:

  • Be sure to specify characteristics that you believe are prerequisites for leadership and evaluate your own leadership profile in light of these characteristics.

  • Be sure to indicate what role you envision the TVI program as a whole, and yourself as an individual, playing in the development of Religious Zionist leadership. If possible, give concrete examples (eg. program ideas).

    • Working at a TVI is a serious and demanding commitment. Your signature to this application indicates your willingness to give your best efforts to achieve TVI's purposes. Your signature also gives TVI permission to contact references and to do a criminal background check.

     


    Home/ Virtual Tour/ Basic Info/ Forms/ Photos/ Staff/ TVI/ email