Name *
Name
Mobile Phone *
Mobile Phone
Home Phone *
Home Phone
Address *
Address
Summer Address
Summer Address
Date of Birth *
Date of Birth
Please indicate which session(s) you would like to be considered for:
Please note that all staff are required to participate in Prep Week.
Please note that all staff are required to participate in Clean-up Week.
Name | Reference #1 *
Name | Reference #1
Please provide contact information for two references
Phone | Reference #1 *
Phone | Reference #1
Title, Company or Relationship to Reference
Name | Reference #2 *
Name | Reference #2
Phone | Reference #2 *
Phone | Reference #2
Title, Company or Relationship to Reference

Almost Done! Send your cover letter and resume to iycyouthsailing@gmail.com