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District 5495

Arizona Rotary Youth Leadership Awards

Apply to Rotary Youth Leadership Awards!

Read this Stuff First!

  1. You MUST have a digital photo to complete this application. It MUST be no larger than 1000kb. You will be REQUIRED to upload the picture directly in the application form. If you do not have a digital photograph, talk to your Rotary representative or Interact club sponsor BEFORE YOU BEGIN THE APPLICATION PROCESS to ask how they can help you get such a photo.
  2. Please name your photo "LASTNAME-FIRSTNAME.jpg" so we will know who you are! PLEASE do not use a photo that includes friends, family, neighbors etc.
  3. After you complete the primary application and click "CONTINUE", you will proceed to the Health History form. If the page does NOT move to a new screen, one or more required items may not have been completed. Recheck all your answers, and be sure that all required items are filled. If you see warnings written in RED underneath a cell, that means there is something wrong with that answer. Correct it, then click "CONTINUE" again. You will proceed to the Health History Form.
  4. After you complete the Health History form, you will receive TWO emails: one with your completed application, and one with your health history information. PLEASE save these for future reference.
  5. If you are an Adult Volunteer, clicking "I Agree" and submitting your application constitutes your signature; you do not need to submit a 'hard copy'.

IF YOU ARE HAVING PROBLEMS WITH THE APPLICATION PROCESS, CONTACT THE WEBMASTER via EMAIL. Make sure to include your phone number in your email.

How to Apply

Application Dates

Delegates: August 1 - October 31, 2021
Junior Counselors: August 1 - October 31, 2021
Adults: October 1, 2021 - until filled

COVID: ALL Adult volunteers (ie non JC and Student applicants) will be required to have received the Covid-19 vaccination -- this includes any JC applicants 18 and older. ALL student and JC applicants (JCs under the age of 18) will be required to have received the Covid-19 vaccination OR present a negative Covid test completed within 72 hours to camp arrival -- this includes admit onto bus transportation. You will be asked to show your vaccination card on the health form (seen only by Chair and Registrar).

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Student Delegate

If you are a high school student, you may apply for the District 5495 RYLA program.

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Junior Counselor

If you attended RYLA 5495 as a student Delegate, you may apply for the District 5495 RYLA Program as a JC.

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Adult Volunteer

There are no formal requirements to be an Adult Volunteer.

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P.O. Box 1955 Sun City, AZ 85372

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