Volunteer Staff Application Form Return completed applications to: Missouri Youth Leadership Forum 301 West High Street, Room 840 PO Box 1668 Jefferson City, MO 65102 OR By email: rachel.rackers@oa.mo.gov OR By fax: 573-526-4109 For additional Information Contact Rachel Rackers 573-526-4564 rachel.rackers@oa.mo.gov 2021 Virtual Two-Day REGIONAL LEADERSHIP FORM VOLUNTEER STAFF APPLICATION This two-day virtual event will take place in the morning on the following dates: Saturday, March 13th, 2021 and Saturday, March 20th, 2021 Applications have to be submitted or postmarked by February 15, 2021 Name:______________________________ Date : _____________________ Mailing Address: ________________________________________________ City________________________ State____________ Zip Code_____________ Telephone: _____________________________ E-mail: _______________________ T-Shirt Size: _________________________ ====================================================================================================== Applicant Status: Check ALL that apply: ____ New Staff Applicant ____ YLF Alumni, if checked, year you attended YLF _________ ____ Former YLF staff member, year(s) on staff _______, _______, _______, _______. Please list any accessibility or accommodations needed ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________