YLF - Application to Volunteer/Staff | Louisiana Developmental Disabilities Council

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Gender(Required)

Male

Female

Other

Pronouns (ex: she/her, he/him, they/them)

Ethnicity

Work Information

Are you currently employed?(Required)

Yes

Current Employer (if applicable)

Job Title (if applicable)

Disability Information

In accordance with the Association of Youth Leadership Forums, at least 50% of our staff must be individuals with disabilities. By asking for this information, we want to ensure that we have the most diverse and representative staff as possible.

Do you have a disability?(Required)

Yes

Describe your disability (if applicable)

Do you need any accommodations while on staff?(Required)

Yes

If so, describe needed accommodations (e.g. accessible shower, interpreter, etc)

Getting to Know You!

Why would you like to serve as a LAYLF Volunteer/Staff member?(Required)

Briefly summarize the skills you would be bringing to LAYLF. (e.g. good communication, ability to multitask, etc)(Required)

Personal Reference

First and Last Name(Required)

Relationship with Reference(Required)

Phone Number(Required)

Professional Reference