The River Corps

The River Corps

Corps Member Application
Corps Member Application

Latin American Youth Center's River Corps
Applicant Information
Full Name (Last, First MI) *
Date *

Month Day Year
Date
Address *
Street Address *
Phone *
Email *
example@example.com
Age *
Date of Birth *

Month Day Year
Date
Are you a citizen of the United States?

YES NO
If no, are you authorized to work in the U.S.?

YES NO
Have you participate with other LAYC/MMYC programs?

YES NO
If yes, when? (What year?)
Have you been vaccinated for COVID-19?

Yes No
Where did you hear about River Corps?
Education
High School Name *
High School City & State *
High School Start Date
High School End Date *
Did you graduate? *

YES NO
College Name (if applicable)
College City & State
College Start Date
College End Date
Did you graduate?

YES NO
Degree
Other Education
City & State
Start Date
End Date
Did you graduate?

YES NO
Degree or Certificate
References
Please list two professional references.
Reference's Full Name *
Relationship *
Company *
Phone *
Reference's Full Name *
Relationship *
Company *
Phone *
Upload Resume Here (If you do not have a resume, enter any previous employment below.

Cancel of
Previous Employment (Or Attach Resume Above)
Company
Phone
Address
Supervisor
Job Title
Pay Rate
Responsibilities
To
To
Reason for Leaving
May we contact your previous supervisor for a reference?

YES NO
May we contact your previous supervisor for a reference?
Company
Phone
Address
Supervisor
Job Title
Pay Rate
Responsibilities
To
To
Reason for Leaving
May we contact your previous supervisor for a reference?

YES NO
May we contact your previous supervisor for a reference?
Company
Phone
Address
Supervisor
Job Title
Pay Rate
Responsibilities
To
To
Reason for Leaving
May we contact your previous supervisor for a reference?

YES NO
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to enrollment, I understand that false or misleading information in my application or interview may result in my release.
Signature *
Type Full Name to Sign
Date *

Month Day Year
Date
Should be Empty:

Corps Member Application

Applicant Information

Education

References

Previous Employment (Or Attach Resume Above)

Disclaimer and Signature