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Online Application for Work Crew
Page 1 of 3
GENERAL INFORMATION | (Required)
First Name:
First Name is required.
Last Name:
Last Name is required.
My name is misspelled
NOTE
: This application is specifically for
. If you are not
, please contact your Young Life leader. If you are
and you need to correct the spelling of your name, click "My name is misspelled" to make corrections.
E-mail Address:
E-mail Address is required.
E-mail Address is invalid.
Cell Phone:
Cell Phone is required.
Please sign me up to receive text message communications.
Please sign me up to receive text message communications
but only regarding this application.
I do not wish to be contacted via text messaging.
Texting Option is required.
Date of Birth:
Date of Birth is required.
Invalid date.
Age must be between 13 and 22. Please complete a paper form.
Place of Birth:
Place of Birth is required.
Citizenship:
Africa
Albania
Algeria
Am Samoa
Argentina
Armenia
Aruba
Australia
Austria
Bahamas
Bahamas
Bahrain
Barbados
Belgium
Belize
Bermuda
Bolivia
Bosnia
Brazil
British West Indies
Bulgaria
Canada
Cayman Islands
Central Africa
Central America
Channel Islands
Chile
China
China
Columbia
Costa Rica
Croatia
Cyprus
Czech Republic
Czechoslovakia
Denmark
Dominican Republic
Dutch Caribbean
East Africa
Ecuador
Egypt
El Salvador
England
Estonia
Ethiopia
Europe
Fiji
Finland
France
Georgia
Germany
Ghana
Grand Caymen, Bwi
Great Britain
Greece
Guam
Guatemala
Guyana
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jerusalem
Jordan
Kenya
Kenya East Africa
Korea
Kuwait
Latvia
Liberia
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi Central Africa
Malaysia
Malta
Mexico
Morocco
Myanmar
Netherlands
Netherlands Antelles
New Guinea
New Zealand
Nicaragua
Nigeria
North Ireland
Norway
Oatar
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Republic Of Ireland
Romania
Russia
Saudi Arabia
Scotland
Scotland
Senegal
Singapore
Slovakia
Slovenia
South Africa
South America
South Australia
South Korea
South Pacific
Spain
Sri Lanka
Sultanate Of Oman
Sweden
Switzerland
Tahiti
Taiwan
Tanzania
Thailand
Tunisia
Turkey
Uganda
Ukraine
United Kingdom
United States
Uruguay
Uta Apia
Venezuela
Virgin Islands
Wales
West Africa
West Germany
West Indies
Western Australia
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Gender:
Male
Female
Gender is required.
PERMANENT ADDRESS | (Required)
Address Line 1:
Address 1 is required.
Address Line 2:
City:
City is required.
State/Province:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State is required.
Zip/Postal Code:
Zip Code is required.
Invalid Zip Code.
Country/Region:
Africa
Albania
Algeria
Am Samoa
Argentina
Armenia
Aruba
Australia
Austria
Bahamas
Bahamas
Bahrain
Barbados
Belgium
Belize
Bermuda
Bolivia
Bosnia
Brazil
British West Indies
Bulgaria
Canada
Cayman Islands
Central Africa
Central America
Channel Islands
Chile
China
China
Columbia
Costa Rica
Croatia
Cyprus
Czech Republic
Czechoslovakia
Denmark
Dominican Republic
Dutch Caribbean
East Africa
Ecuador
Egypt
El Salvador
England
Estonia
Ethiopia
Europe
Fiji
Finland
France
Georgia
Germany
Ghana
Grand Caymen, Bwi
Great Britain
Greece
Guam
Guatemala
Guyana
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jerusalem
Jordan
Kenya
Kenya East Africa
Korea
Kuwait
Latvia
Liberia
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi Central Africa
Malaysia
Malta
Mexico
Morocco
Myanmar
Netherlands
Netherlands Antelles
New Guinea
New Zealand
Nicaragua
Nigeria
North Ireland
Norway
Oatar
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Republic Of Ireland
Romania
Russia
Saudi Arabia
Scotland
Scotland
Senegal
Singapore
Slovakia
Slovenia
South Africa
South America
South Australia
South Korea
South Pacific
Spain
Sri Lanka
Sultanate Of Oman
Sweden
Switzerland
Tahiti
Taiwan
Tanzania
Thailand
Tunisia
Turkey
Uganda
Ukraine
United Kingdom
United States
Uruguay
Uta Apia
Venezuela
Virgin Islands
Wales
West Africa
West Germany
West Indies
Western Australia
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Home Phone:
Home Phone is required.
SCHOOL INFORMATION | (Required)
School Name:
School Name is required.
Current Grade:
9
10
11
12
Other
Current Grade is required.
Last Day of School This Year:
Last Day is required.
Invalid date.
Date must be within the next year.
First Day of School Next Year:
First Day is required.
Invalid date.
Date must be within the next year.
YOUNG LIFE HISTORY | (Required)
Young Life Leader's Name:
Leader Name is required.
Have you been a summer
camper at a Young Life camp?
Yes
No
Answer is required.
List camp name(s)
and year(s):
Details are required
Have you been on a Young Life
summer work crew before?
Yes
No
Answer is required.
List camp name(s)
and year(s):
Details are required.
To be eligible to serve on work crew, you must be available to serve for the duration of the work crew
assignment. Please list the dates you are available to serve.
Work Crew Availability:
through
Start Date
End Date
Availability Start Date is required.
Invalid date.
Date must be within the next year.
Availability End Date is required.
Invalid date.
Date must be within the next year.
End date must come after start date.
YOUR PHOTO
Why do we ask for a photo of work crew applicants?
After being selected to participate in work crew, your work crew boss gets a collage of pictures so he or she can learn your names and match them to faces prior to your arrival at camp. This is just one of the ways we emphasize the deeper relationships you will be building during your time on work crew.
Please limit the size of your file to 4MB.
Photo must be a JPG, GIF, BMP, or PNG
Clear Photo
Please limit file uploads to 4MB.
Application has been saved.
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