Shireinu Staff Application Form 2025 - Form

STAFF HOURS: Monday-Thursday 9:00 AM - 4:15 PM • Friday 9:00 AM - 2:15 PM

Deadline for Applications: March 31, 2025

* Last Name

* First Name

* DOB

* Home Phone

* Cell Phone

Please put the phone number you would like to receive text updates on.

* Email Address

This will be used as primary email for all communications.

* Do you read your emails regularly?

Please Select OneYesNo

* Do you receive text messaging?

Please Select OneYesNo

* What is the best way to contact you with important information?

* Street Address

* City

* State

* Zip Code

* School Currently Enrolled in

* Grade in Sept. 2025

Previous Schools

* Father's Name

* Father's Cell

* Father's Email Address

* Mother's Name

* Mother's Cell

* Mother's Email Address

* Marital Status

* Synagogue Affiliation

* Family Rabbi

* Emergency Contact Name

* Emergency Contact Relation

* Emergency Contact Phone

* Family Doctor

Name and Phone

* Additional Information

Allergies / Special Conditions / Etc.

* Applying for Session:

Salary for Full Summer applicants may be higher depending on age and experience.

* Applying for Position Of:

Head Staff (18+)Counselor (16+)Junior Counselor (14+)Lifeguard (Red Cross Certified)

Specialty Staff:

Baking (Part Time)Sports (Full Time)Arts and Crafts (Full Time)Workshops (Part Time)Please check if you would to apply as a specialty staff member (not necessarily a full-time job).

* Would you be interested in being a Mother's Helper?

Please Select OneYesNoAdorable babies :)
Should it be relevant, we will reach out with more information.

* Age Group Preference

Cuties Division (1-3 grade)Bloomers Division (4-5 grade)Tweens Division (6-7 grade)RXL Division (8 grade)

*Salary for CUTIES Division (1-3) may be higher than other divisions depending on age and experience.
**We don’t guarantee anything, but we will try to honor your request. You will be notified of your bunk / position before acceptance.

* Please select what applies to you.

Please Select OneI don't have a cell phoneI have a Kosher flip-phoneI have a TAG filtered smartphoneI have an unfiltered smartphonePlease Note: To protect our girls and provide them with strong role models, Shireinu does not allow smartphones on campus.

* Please select what applies:

Please select oneI have worked in Shireinu previously.This is my first time applying for a staff position.

Salary for Returning Staff may be higher depending on age and experience.

WORK EXPERIENCE WITH CHILDREN:

* Employer Name

* Job Date

* Employer Phone

Employer Email

REFERENCES AND BIOGRAPHY:

* Reference #1 Name

Reference can be a teacher, friend, Rebbetzin, etc.

* Reference #1 Relationship

* Reference #1 Phone

* Reference #2 Name

* Reference #2 Relationship

* Reference #2 Phone

* Scenario A: Please write your response to the scenario below.

Your bunk is currently at Main Activity and the head counselors are running an amazing, high-energy game. What is your job now?

* Scenario B: Please write your response to the scenario below.

Your bunk is supposed to be having sports now and you are gathering your girls to take them to the playground. 1 girl refuses to come along, saying she doesn't like to play ball. How would you respond to this situation?

* Scenario C: Please write your response to the scenario below.

Your bunk is heading on a trip! The bus is packed and the DH wants to take attendance. How do you help to get the girls quiet so attendance can be taken?

* Please tell us about yourself. Include any other job experiences, personality type, and special talents/abilities you would like us to know about.

DRESS CODE AND GUIDELINES:

As ROLE MODELS for the children, Shireinu Staff Members must dress appropriately, in accordance with the Torah laws of modesty.

* Knees must be covered at all times.

Knees must be covered at all times.

* Elbows must be covered at all times.

Elbows must be covered at all times.

* Knee-highs OR Tights must be worn at all times.

Knee-highs OR Tights must be worn at all times.

* Clothing (Tops and Skirts) cannot be clingy & tight fitting.

Clothing (Tops and Skirts) cannot be clingy & tight fitting.

* Ankle Socks are NOT allowed to be worn.

Ankle Socks are NOT allowed to be worn.

* Leggings are NOT allowed to be worn.

Leggings are NOT allowed to be worn.

Any other Tzniut rules enforced by the establishment must be abided by. These rules and any other policies enforced are strictly for our own benefit, and to bring honor to the Name of Hashem.
STAFF MEMBERS WHO REFUSE TO ABIDE BY THESE RULES WILL BE SUBJECT TO DISMISSAL

* I agree to abide by the dress code, guidelines, and all other regulations enforced by Shireinu.

I agree to abide by the dress code, guidelines, and all other regulations enforced by Shireinu.

CONTRACT AND TERMS OF AGREEMENT:

1. A Medical Form (click to download) must be submitted by Tuesday, May 13, 2025.

2. Staff Members are responsible for any and all medical bills incurred, ח”ו, during the summer.

3. Torah Ohr / Shireinu Summer Program will not be held responsible for any personal items that are either lost, stolen, or left behind throughout the summer.

4. Early Dismissal & Off-Days: Please note, there will be a 12:15 PM dismissal on the following days: Lunch will not be served. • Friday, July 4th

5. PHONE BOX POLICY: Staff are expected to deposit their cell phones in the Office phone box every morning and retrieve them at the end of the day, after signing out. Staff Members may not take the phone during the day, barring emergencies. On trip days, Staff Members may have the phone. Please note: Shireinu does not allow smartphones on campus.
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* I understand that as being hired as a Staff member in Shireinu, the objective is to provide the kids with an exciting and meaningful experience, while serving as a positive role model and developing a connection with the children. I agree to accomplish this to the best of my ability, with the help of Hashem.

I understand that as being hired as a Staff member in Shireinu, the objective is to provide the kids with an exciting and meaningful experience, while serving as a positive role model and developing a connection with the children. I agree to accomplish this to the best of my ability, with the help of Hashem.

PARENT AUTHORIZATION & HOLD HARMLESS AGREEMENT

My daughter(s) has/have permission to be part of Shireinu Summer Program, a division of Torah Ohr Hebrew Academy, as a STAFF MEMBER, and take part in all activities, trips, etc.

This agreement releases Torah Ohr Hebrew Academy and all its staff or volunteers from all responsibilities and liabilities relating to injuries that may occur, G-D forbid, during the summer program, both on or off the Torah Ohr campus, regardless of whether the injuries are caused by negligence or not.
By signing below, I forfeit all rights to bring a lawsuit against Torah Ohr Hebrew Academy or any of its staff or volunteers for any reason.
Pictures and videos taken at our exciting events may be posted on Torah Ohr's website, posters within the shul, in flyers, emails, etc. By signing below, I am giving consent for my daughter(s) to be included in photographs and videos taken at any event.
In addition, I give my daughters(s) permission to receive emergency medical treatment.
This agreement additionally releases Torah Ohr Hebrew Academy and the owners of the pools Shireinu will be using from all liability relating to injuries that may occur during the use of their pools. By signing this agreement, I agree to hold Torah Ohr Hebrew Academy and the owners of the pools entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence or not. In addition, I acknowledge the risks involved in swimming. These include, but are not limited to, drowning, losing consciousness, injuring oneself, G-d Forbid. I declare that my daughter is participating voluntarily, and that all risks have been made clear to me. Additionally, my daughter(s) does not have any conditions that will increase her likelihood of experiencing injuries while engaging in this activity.
By signing below, I forfeit all rights to bring a suit against Torah Ohr Hebrew Academy or the owners of the pools for any reason. In return, my daughter(s) will receive access to their pools along with Shireinu Summer Program. My daughter(s) will also make every effort to obey safety precautions. I will ask for clarification when needed.

* PARENT AUTHORIZATION: I, the undersigned, fully understand and agree to the above terms.

PARENT AUTHORIZATION: I, the undersigned, fully understand and agree to the above terms.To be filled by parent / legal guardian.

* Parent/Guardian Name

* Parent/Guardian Signature

* Date

CLICK HERE TO DOWNLOAD MEDICAL FORM.
Due May 13, 2025.

Upload Medical Form

Exam date must be after August 22, 2024.