Form DI-4014 (Rev. 11/2023)

U.S. Department of the Interior

OMB Control No. 1093-0010

Expires 11/30/2026

Page 1 of 5

UNITED STATES 

YOUTH CONSERVATION CORPS

APPLICATIONFORM

PROGRAM OVERVIEW

The United States Youth Conservation Corps (YCC) is a youth employment program that engages young people in

meaningful work experiences at national parks, forests, wildlife refuges, and fish hatcheries while developing an ethic of 

environmental stewardship and civic responsibility. YCC members work on projects that promote awareness and 

appreciation of the public lands legacy and the nation’s natural, cultural, and historic resources. 

The YCC is administered jointly by the U.S. Department of the Interior – National Park Service and U.S. Fish and U.S. 

Wildlife Service and the U.S. Department of Agriculture – U.S. Forest Service. Housing is not provided unless the specific 

YCC site/program has clearly indicated that their program provides housing. 

ELIGIBILITY REQUIREMENTS

Applicants must:

 Be at least 15 years of age at the start of enrollment and must not reach age 19 before completion of the

program

 Be a U.S. citizen or permanent resident of the United States, its territories, or its possessions

 Provide or be able to obtain a work permit as required under the laws of the applicant’s home state

 Provide a valid U.S. Social Security number or have applied for a valid Social Security number

 Be able to fulfill the essential functions of the assigned work with or without a reasonable accommodation

 Be actively committed and willing to complete the assigned work project

PROGRAM BENEFITS

The YCC affords members a variety of opportunities to work on projects, such as constructing and repairing trails, preserving 

and repairing historic buildings, removing invasive species, assisting with wildlife and land research, leading environmental 

education programs, and supporting agency staff.

HOW TO APPLY

For more information on how to apply to YCC programs and opportunities, please visit agency webpages for locations, 

application process, due dates, and points of contact. Eligible applicants should follow the instructions for completing and

submitting the application as directed by YCC program sites. Applicants may also contact the nearest YCC program office

managed by the National Park Service, U.S. Fish and Wildlife Service, or U.S. Forest Service for more information.

Please visit the following sites for YCC opportunities:

• National Park Service

• U.S. Fish & Wildlife Service

• U.S. Forest Service

Please fill out this application as thoroughly and legibly as possible. Submit the completed application to the Youth 

Conservation Corps (YCC) program site location where you would like to work using the YCC mail or email address listed on 

the federal agency’s website.
Form DI-4014 (Rev. 11/2023)

U.S. Department of the Interior

OMB Control No. 1093-0010

Expires 11/30/2026

Page 2 of 5

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This application must be filled out completely to determine the applicant’s eligibility and availability. Incomplete 

applications may be rejected. Complete applications include responses to all questions (unless marked optional), 

parent/guardian contact information, and certification signatures.

First: ________________________ Middle: ___________________ Last: ______________________ Suffix: _________

Gender:  Male  Female  Non-binary  Self-identify as: __________________  Prefer not to disclose

Date of Birth: ________________ (mm/dd/yyyy) Age: ____

Tell Us About Yourself

Please answer the following questions regarding your background, contact, and other information. 

Contact Information

Street: _______________________________________________ City: _______________ State: _____ Zip: _______

Email: ____________________________________________ Phone 1: ________________ Phone 2: ________________

What is the best way and time to contact you? 

_________________________________________________________________

What YCC site are you applying to? Note that a separate application needs to be completed for each site you are applying 

to. Please specify the session dates if known. Some sites may have more than one session offered, which may be noted on 

the site’s YCC opportunities page. 

_______________________________________________________________________________________________

Applicants are required to provide their own housing in the local area unless the YCC announcement clearly states that 

housing is provided as part of the program. Do you currently have housing in the local area from which you can commute 

each day?

 Yes  No  N/A (The YCC site has clearly indicated that housing is provided)

If you do not currently have housing, explain your plans for obtaining housing if offered the position. Please note that finding 

short-term rentals in communities near public lands is often extremely difficult and sometimes does not exist. 

How did you learn about the YCC program? (Select all that apply)

Website Past/Current YCC Member

School Counselor/School Newspaper/School Newsletter Poster 

Federal Staff Member Online Job Board

Social Media Other ________________ (please specify) 

 Other information

1. Are you able to perform work that is physically strenuous and in adverse weather conditions such as rain or heat?

 Yes  No

2. Will you require a reasonable accommodation (modification or adjustment to a job, the work environment, or the way

things are usually done) to perform work that may be assigned to you?  Yes  No
Form DI-4014 (Rev. 11/2023)

U.S. Department of the Interior

OMB Control No. 1093-0010

Expires 11/30/2026

Page 3 of 5

If you answer “no” to question #1, or “yes” to question #2, tell us what types of work you are unable to perform and/or

describe the types of reasonable accommodations you may need to work in the outdoors or otherwise.

3. Are you a current YCC member or have you served as a YCC member in the past?  Yes  No

If yes, where: ______________________________________________ When: ____________________

4. Briefly describe the project(s) or work you performed: ____________________________________________________

______________________________________________________________________________________________

Tell us why you want to join the YCC

Optional. Your answer will help the YCC site understand what you hope to get out of the position and how they can provide a

positive YCC experience for you. 

In 250 words or less, please explain why you want to serve as a YCC member.

ADDITIONAL INFORMATION

Please use this section to answer questions or to include more information to submit a complete YCC application. This 

section is optional and may be skipped if the applicant has no further information to share.
Form DI-4014 (Rev. 11/2023)

U.S. Department of the Interior

OMB Control No. 1093-0010

Expires 11/30/2026

Page 4 of 5

CERTIFY YOUR APPLICATION

I am familiar with the Youth Conservation Corps (YCC) program and am interested in working to develop and 

maintain the natural and cultural resources of the United States.

I certify that I understand the work and environmental conditions that might exist while serving as a YCC member. I 

understand that I may be exposed to physical work, insects, poison oak and ivy, adverse weather, and outdoor 

working conditions up to eight hours a day during service, depending on the type of YCC position.

I certify that I meet all YCC program eligibility requirements. I am a citizen or permanent resident of the United States 

or its territories or its possessions. I have or am applying for a valid U.S. Social Security number. I will be at least 15 

years of age on or before the first day of work and will not reach 19 years of age before completion of the program.

And finally, if selected, I will obtain a work permit, if required.

I certify that all information I have provided on this application is true and correct to the best of my knowledge.

I understand that incorrect statements constitute grounds for immediate dismissal. With my signature, I certify that I 

give my permission for this form to be reviewed by any YCC official.

_____________________________________ _________________________ ____________

Applicant Name Applicant Signature

(digital signature is acceptable) 

Date 

(mm/dd/yyyy)

For applicants under the age of 18:

By signing this document, I, the parent/legal guardian of the above applicant, acknowledge that I have discussed 

the YCC program with the applicant. I give permission for the applicant to apply for and participate in the YCC 

program, if selected.

_______________________ _________________________ ____________

Parent/Legal Guardian Name Parent/Legal Guardian Signature

(digital signature is acceptable) 

Date 

(mm/dd/yyyy)

_____________________ _______________________________________

Phone Number Email Address

REFERENCES

Please provide four references who know you well, such as teachers, coaches, or religious leaders. At least two references

must be people who are not related to you. Complete all information requested.

Reference 1 Reference 2

First Name: _____________ Last Name: ____________ First Name: _____________ Last Name: ____________

Relationship to Applicant: _________________________ Relationship to Applicant: __________________________

Phone: ___________________ Phone: ___________________

Email Address: _____________ Email Address: _____________

Reference 3 Reference 4

First Name: _____________ Last Name: ____________ First Name: _____________ Last Name: ____________

Relationship to Applicant: _________________________ Relationship to Applicant: __________________________

Phone: ___________________ Phone: ___________________

Email Address: _____________ Email Address: _____________
Form DI-4014 (Rev. 11/2023)

U.S. Department of the Interior

OMB Control No. 1093-0010

Expires 11/30/2026

Page 5 of 5

PRIVACY ACT STATEMENT

Authority: 16 USC 1701-1706, Chapter 37 – Youth Conservation Corps and Public Lands Corps, Subchapter I – 

Youth Conservation Corps (Youth Conservation Corps Act of 1970 (P.L. 91-378; 84 Stat. 794) as amended in 1972

(P.L. 92-597) and in 1974 (P.L. 93-408).

Purpose: The information is collected to evaluate the eligibility of youth 15-18 years of age for employment with the

Youth Conservation Corps (YCC).

Routine Uses: The information collected on this form may be shared in accordance with the Privacy Act of 1974

and the routine uses listed in the DOI Office of the Secretary (OS) System of Records Notices INTERIOR/OS-25,

YCC Enrollee Records, and INTERIOR/OS-29, YCC Recruitment Files available at https://www.doi.gov/privacy/osnotices. 

Disclosure: Furnishing this information is voluntary; however, failure to provide the requested information may disqualify

acceptance into the YCC program.

PAPERWORK REDUCTION ACT STATEMENT

In accordance with the Paperwork Reduction Act (44 U.S.C. 3501), the U.S. Department of the Interior National Park 

Service and U.S. Fish and Wildlife Service and the U.S. Department of Agriculture – U.S. Forest Service, collect information 

necessary to assist the agencies in safeguarding the health, safety, and welfare of the enrollees of the YCC programs.

Your response is voluntary, but failure to complete this form may result in exclusion from participation in the YCC

program. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor and a person is not

required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has

approved this collection of information and assigned Control No. 1093-0010.

ESTIMATED BURDEN STATEMENT

We estimate public reporting for this collection of information to average 25 minutes, including time for reviewing 

instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the 

burden estimate or any other aspect of the form to the Departmental Information Clearance Officer, U.S. Department of

the Interior, 1849 C Street, NW Washington, DC 20240, or via email at doi-pra@ios.doi.gov. Please do not send your

completed form to this address.