CALIFORNIA YOUTH LEADERSHIP FORUM

FOR STUDENTS WITH DISABILITES

2017 ONSITE STAFF APPLICATION

Part 2

Final Preparation

Please use the checklist below to ensure your application packet is complete. Incomplete applications will not be considered.

Required Items / Completed
Completed On-Site Application
Attached Letter(s) of Recommendation
Read the On-site Staff Position Description of Duties
Read, understand and sign the YLF Ground Rules and Guidelines, Confidentiality Agreement and Social Networking Policy
Print all pages of part 2 of the application, sign and return via U.S. mail

Your work as On-Site Staff is contingent on passing a background check. Only selected staff will be required to complete and pass a FBI and DOJ background check and check on the state and national sex offender registry. You are now required to submit a Live Scan for a FBI and DOJ background check as part of the YLF event through a third-party vendor. If you are unable to pass the background check, you are disqualified from working

as staff and attending the YLF event. As part of the new background check requirements, you must provide us with either your Driver’s License or California Identification Number.

As On-Site Staff, you will also be subject to self-disclosure statements, confidentiality agreements and you will be required to hold to strict privacy guidelines. For example, when photos and videos are shared, you must blur-out names on badges of delegates or other staff members for privacy reasons. Also, you may not mention the full name of any delegates during a recording. You are allowed to say the delegate or On-site staff members first name and last initial.

If you are selected as a volunteer staff, you are also authorizing the YLF and its affiliates to use your image and /or quotes in any literature or periodicals without any compensation.

______

I understand and accept these requirements for the position(s) that I am applying for.

I have read the On-Site Staff Position Description of Duties, YLF Ground Rules and Guidelines, YLF Confidentiality Agreement, and the Social Networking Policy posted on the YLF website.

By submitting this application, I, authorize my application to be confidentially reviewed by the YLF selection panel and submit to a background check.

______

Print Full Legal Name

California Driver’s License/Identification Card# :______

Signature: ______Today’s Date: ______

Thank you for completing this application. Please e-mail your completed application, electronic letters of recommendation, attachments to: .

Print this page only, sign, and mail along with the hard copy documents specified in item # 4 above hard copy documents to:

YLF/Staff Application

Attn: Zak Ford

721 Capitol Mall

Sacramento, CA 95814

Please keep a copy of the application packet for your records.

Youth Leadership Forum Department Of Rehabilitation  721 Capitol Mall  Sacramento, CA 95814

(855) 894-3436 (voice)  for relay services please call 711  (email)

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