Chabad on Campus Kinus Staff Application Form

Please fill out the form below and we will be in touch with you shortly. If you have any questions, feel free to contact staff@chabad.edu.
Thank you.

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Part 1: Basic Information

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Have you staffed a prior Chabad on Campus Kinus?
Other

Part 2: References

List two references of people who have seen you work with children (either babysitting or camp experience)

Reference #1

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Reference #2

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Part 3: Medical Needs and Allergies

For your safety and the safety of the children, we are required to find out the following medical information. All information will remain confidential. Answering these questions will not affect your qualification as a Kinus staff member.

Do you have any allergies (including food and seasonal)? *
Do you have any medical condition or dietary needs? *

Part 4: Working Preferences

We will try to accommodate your preference but cannot guarantee that

Part 5: Rooming Preferences

Please write down four girls that you would like to room with. We will try to place you with at least one of your preferences. (You can change your preferences later.)