Staff Application - Camp Sviva

Camp Sviva Staff Application

Please note: Season 2026 Camp Dates are July 28 – August 20.

Staff Dates are July 27 – August 20.

Junior Staff (coming out of 11th grade) have an $850 tuition fee due upon acceptance.

Personal Information

Name *

Email Address *

Date of Birth *

Current Photo *

No file chosen

Please upload a current photo of yourself. Applications will not be reviewed without one.

Street Address

City

State/Province

ZIP / Postal Code

Phone *

American Israeli Number (for seminary staff)

Current Grade *

School/Seminary *

Social Security Number *

Select which position(s) for which you are applying. *Day Camp CounselorMother's Helper

List the positions in order of preference *

List 3 friends you want to work with *

Give one camp and one school reference, who besides knowing you well, are in the field of Chinuch and have seen you work with children. *

Please list any daily medication(s) *

Where will you be the first half of the summer? *

Do you have a sister coming to Camp Sviva?YesNo

Would you like to order a Camp Sviva 2026 sweatshirt? Cost is $50. *YesNo

Sweatshirt Size

Indicate where you have spent your last four summers:

July 2025 *

August 2025 *

July 2024 *

August 2024 *

July 2023 *

August 2023 *

July 2022 *

August 2022 *

TransportationPlease select from where you would like transportation to camp

Parent Information

Parents' Marital Status *MarriedDivorcedSeparatedWidowed

Father's Name *

Father's Cell *

Father's Email Address *

Father's Occupation *

Firm Name

Mother's Name *

Maiden Name *

Mother's Cell *

Mother's Email Address *

Mother's Occupation *

Firm Name

Experience

Describe your experience working with children. Give ages, length of time, and activities: *

What do you feel you can contribute most to camp? Please list any talents you may have: (Now is not the time for modesty.) *

What extra-curricular activities do you participate in at school? Explain. *

Payment Information

Card Number *0 / 16

Exp. *0 / 6

CVV *0 / 4

Name on Card *

Complete Billing Address *

TRIP/ACTIVITY AUTHORIZATION/HOLD HARMLESS AGREEMENT: By completing/signing this application, I hereby authorize Sviva (herein after Camp) to take my child(ren) off Camp grounds to go on trips organized as part of the camping program. This may include swimming and/or boating sites. In addition, my child(ren) may participate in any on or off ground activity, organized by Camp, including but not limited to land sports, aquatics activities, ropes course, indoor activities, bicycling, hiking, cookouts, etc. and I assume the inherent risk of such activities and camp programs. I will hold Camp harmless in the event of an injury or property damage or loss because of such activities. The Camp will not be held responsible for articles of clothing or personal belongings lost or damaged by fire, theft, laundry, etc. or shipped by any transportation company. I also agree to abide by all rules and regulations as set forth in the camp application, in the directory of information and by the camp administration. Please feel free to call us at any time if you have any questions at 845-720-6126. MEDICAL CARE AUTHORIZATION: I, the undersigned parent/guardian of the above noted minor, do hereby authorize the administration of Sviva as my agent to consent to any diagnostic procedure or medical care which is deemed advisable by, and is rendered under the general or special supervision of any licensed physician and/or surgeon at a hospital or doctor’s office. I give permission to the physician selected by the camp to order x-rays, routine tests, and treatment related to the health of my child for both the routine health care and in medical situations. If I cannot be reached in an emergency, I give my permission to the physicians elected by the Sviva administration to hospitalize, secure proper treatment for, order injections, order anesthesia, or order surgery for my child. I understand the information on this form will be shared on a “need to know’ basis with camp staff. I give permission to reproduce this form. In addition, the camp has permission to obtain a copy of my child’s health record from providers who treat my child and these providers may talk with the program’s staff about my child’s health status. This authorization shall be in effect until the end of the summer camp session or until it is revoked in writing and such revocation is delivered to the Sviva office via certified mail. I have read and agree to the terms and conditions above. *