NYLT Youth Staff Application

Required information is highlighted.

Youth Staff General Information
(Only basic five digit Zip Code)
(mm/dd/yyyy)

Unit Information

Unit Leader's Information
(###-###-#### Ext ####)

Scouting Related Information
(###-###-####)

Parent/Guardian/Emergency Information
(###-###-####)
(###-###-####)

Your Current Level/Interests

Your Achievements

Personal Information

I am available to staff the following course weeks:

Please read the position descriptions prior to making your selection. Some positions require previous staff experience











AFFIRMATION: I hearby agree to abide by the following:

I am aware of the staff development dates and will be able to attend. If I need to miss one meeting due to an important conflict I will notify and discuss this with the Course Director/Scoutmaster in advance. I have read and understand the staff requirements and expectations.