Camp YoliJwa Staff Application
Use this form to apply to be a volunteer or paid staff member at Camp YoliJwa in the Summer Camping season of 2024.
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ABOUT YOU...
Name *
Male or Female *
Check One
Date of Birth *
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DD
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YYYY
Age *
Have you served on YoliJwa staff before? *
Pennsylvania's Child Protection Law
Requires that employees and volunteers that are over 18 years of age and serve in direct contact with children, receive documented state and in some cases federal clearances.  These clearances MUST be submitted to Camp YoliJwa before adults are accepted to serve in our youth camping programs.

For more information regarding PA state clearances or to obtain your clearances if you are 18 years of age or older follow the link below.

Will you be 18 years of age before your time of service? *
Address (Street / City / State / Zip Code / Country) *
Example: 1550 Doubling Gap Road Newville, PA 17241 United States of America
Have you continually maintained a Pennsylvania home address since 2012? *
Phone Number with Area Code *
E-mail *
List any Social Media Accounts *
To be able to stay in contact with Camp throughout the year.
Preferred Contact Method? *
Required
High school grade completed. *
Select one if applicable.
College Major and Years Completed. *
List if applicable.
Employer, Job Title, Responsibilities. *
List if applicable.
Please state any physical conditions which would limit your involvement in the total camping program. *
Do you have any tattoos or body piercings (excluding ear) that will be visible during the week? If Yes please describe. *
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