Name

First Name

Last Name

Address

Social Security Number

Phone Number

Gender

T-Shirt Size

Social Media

Please select which platforms you have active accounts on.

Facebook

Instagram

TikTok

Other

High School / Years Completed

College / Years Completed

How many years have you served on staff?

How many years have you attended HYC?

Are you under 18 years old?

If YES, do you have parental consent to work on staff at HYC?

Have you been convicted of a criminal offense other than a minor traffic violation?

Are there criminal charges pending against you currently?

Are you able to be at camp from June 24 - August 1?

Please explain if you answered "no" to the question above:

Job you're interested in for this summer:

Does not guarantee you the position but will give us an idea of what you're interested in.

In what ways are you uniquely qualified for the position(s) you are applying for? Please list any notable experience (at HYC or otherwise).

Signature

Please type name agreeing that this information listed above is correct and that you're committed to being on staff for this coming summer.

Returning Staff Form

2025 Returning Staff Form