Adult Staff Application

Senior Counselor Applicants

  • Must be a Rotarian in good standing with your club or be recommended by a Rotarian in District 5630 or District 5610
  • Must be at least 21 years of age or older
  • Must agree to complete a criminal background check upon acceptance as a Senior Counselor
  • Must attend all dates of Great Plains RYLA .
Maximum upload size: 33.55MB
Acceptable file formats: .jpg .jpeg .png .gif File size must be less than 2MB. Please upload a photo of yourself. Any photo will do, but the closer the photo is to your face, the better. We can crop any photo down to the appropriate size if you don't know how to do it. If you don't have access to a photo or are having problems uploading, you can skip this and just e-mail a photo to
Phone number is
Will you be 21 or older on the first day of RYLA - July 13, 2021?


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