make a change.Make a difference in youths’ lives by being a staff member at LAYLF this summer! Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Profession and Current Employer if applicable Gender Female Male Nonbinary Other Ethnicity Caucasian American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander Support Needs & Accommmodations We would like to inquire more about what accommodations you may need as a LAYLF staff member, so we can provide the most supportive, welcoming, and accessible environment possible. Your answers will remain confidential. Please check any accommodations you utilize day-to-day. Accessible shower Help carrying food trays/plates/etc Use of a service dog ASL Interpreter DSW/PCA at home for ADLs Use of a communication device Dietary restrictions Communication Style Verbal Semi-verbal Nonverbal Communication Device/AT Sign Language Please describe any other accommodations/supports you would need at camp, if applicable. Getting to Know You! Please briefly describe why you would like to serve as a LAYLF staff member. What are you looking to get out of your experience at camp? Please describe any experiences that you have that would be an asset to the Louisiana Youth Leadership Forum. Please provide a personal and professional reference. Include their names, phone numbers, and your relationship with them. Thank you!