ECS Madrichim Application - Jewish Federation of Greater Des Moines

Name

This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Mobile Phone*

Email*

Date of Birth*

Grade For Incoming School Year*

T-shirt Size*

Emergency Contact Name*

First Last

Emergency Contact Email*

Emergency Contact Phone Number*

Do you have any allergies or medical conditions?*

No

Yes

Please explain

Madrichim may select which weeks they are available to work. Each madrich(a) will go through an interview process and the director will determine which weeks work in the best interest of the madrichim and camp. The cost to participate is $100/week, which includes lunch and the gift card stipend at the end of each week worked. Families will not be billed until schedule has been determined.

Which weeks are you available to work at Engman Camp Shalom?*

Week 3, June 22 – 26 has a premium charge for the Adventureland Field Trip. Camp will run until 5pm on Wednesday, June 24. Week 4, June 29 – July 3 is a four-day week in observance of Independence Day. Prices for these weeks have been adjusted.

If you would like to register for Morning, Afternoon, or Round Trip Transportation, please email sarahg@jewishdesmoines.org after completing your registration.

Week 1 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 1 Cost

Price: $0.00

Week 2 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 2 Cost

Price: $0.00

Week 3 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 3 Cost

Price: $25.00

Week 4 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 4 Cost

Price: $25.00

Week 5 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 5 Cost

Price: $25.00

Week 6 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 6 Cost

Price: $25.00

Week 7 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 7 Cost

Price: $25.00

Week 8 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 8 Cost

Price: $0.00

Week 9 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 9 Cost

Price: $25.00

Week 10 Needs

Before Care only

After Care only

Before and After Care

Hot Lunch

Week 10 Cost

Price: $0.00

Week 11 Needs

There will be no transportation services or extended care services offered during week 11.

Hot Lunch

Week 11 Cost

Price: $25.00

Why do you want to work at Engman Camp Shalom?*

List three qualities you feel would make you a successful CIT*

What type of extracurriculars are you involved in?*

What age group do you feel most comfortable working with and why?*

If this is your first summer applying to be a part of the madrichim program at Engman Camp Shalom, how did you find out about us?

Please list anything else you feel we should know about you

Payment due after interview with Director and assigned weeks. Actual cost may be different than the amount listed here.

Will you be applying for scholarship?

Yes

No

The scholarship team will be in touch with you soon.

Discount Code

This is not a valid discount code. Contact engmancampshalom@jewishdesmoines.org if you believe there’s been a mistake.

You’ve entered a valid discount code. Please submit your registration.

Discount

Price: $0.00

Camp Total

ECS Madrichim Application
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