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Spring 2017 - LLFC Weekend Interest and Availability Questionnaire
Your First Name
Your answer
Your Last Name
Your answer
Your email address:
(the one you check regularly)
Your answer
Your cell number:
Your answer
City, State (where you currently live or go to school)
Your answer
What school you attend during spring 2017 semester?
Enter school name under other if in high school or college not listed below
What is your permanent street address?
Parent's street address / where you will receive your year end tax forms
Your answer
What is your permanent city address?
Parent's city address / where you will receive your year end tax forms
Your answer
What is your permanent state address?
Parent's state address / where you will receive your year end tax forms
Your answer
What is your permanent zip code address?
Parent's zipcode / where you will receive your year end tax forms
Your answer
Have you worked for Laity Lodge (LLFC or LLYC) in the last 12 months?
Month of your birth date:
Month - Must be at least 16 years old to work at LLFC
Day of your birth date:
Day - Must be at least 16 years old to work at LLFC
Year of your birth date:
Year - Must be at least 16 yrs old to work at LLFC
What size t-shirt do you wear?
Adventure Rec - Are you certified?
1 year certification
Required
Lifeguard - Are you certified?
2 year certification
Required
Mountain Biking - Are you certified?
1 year certification
Required
Shooting Sports - Are you certified?
2 year certification
Required
Are you interested in serving on Crew?:
*High school Junior and Seniors are eligible for this position only*
Available to work Feb 3-5 (Fri-Sun)?
Submitting "yes" does not guarantee you will work this session. You will be notified via email if you are placed on the roster.
Required
Available to work Feb 17-19 (Fri-Sun)?
Submitting "yes" does not guarantee you will work this session. You will be notified via email if you are placed on the roster.
Required
Available to work Mar 3-5 (Fri-Sun)?
Submitting "yes" does not guarantee you will work this session. You will be notified via email if you are placed on the roster.
Required
Available to work Mar 16-19 (Thu-Sun)?
Submitting "yes" does not guarantee you will work this session. You will be notified via email if you are placed on the roster.
Required
Available to work Apr 7-9 (Fri-Sun)?
Submitting "yes" does not guarantee you will work this session. You will be notified via email if you are placed on the roster.
Required
Available to work Apr 21-23 (Fri-Sun)?
Submitting "yes" does not guarantee you will work this session. You will be notified via email if you are placed on the roster.
Required
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