2019 Youth Leader Application

Application for Group Leader Position 2019-2020

Please complete all fields. Deadline is September 1, 2019.
Full Name

First Name Last Name
Date of Birth
Grade in Fall 2019
Cell Phone

Area Code Phone Number
Home Phone

Area Code Phone Number
E-mail
How many Shabbatot would you like to work each month?
Please note: We cannot guarantee the number of Shabbatot you will work.
If you have been a group leader for NS in the past, please tell us the number of years.
Other than working at Netivot Shalom, do you have any other experience working with children?
Is your experience with children from working at:

Camp Babysitting Other Shul Youth Group
What age(s) were the children with which you worked?

Indicate your group preferences. Rank 1-3 (1 being most desired):

Please note: Each number should be assigned to only one group. Age breakdowns may change and we cannot guarantee the group you are requesting.

Application for Group Leader Position 2019-2020