Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
OAKLAND CTE TAY Hub @1025 2nd Ave TAY Peer Specialist Application - Come Join Us!
Are you 16-24? Do you want more housing, job, career and wellness resources for transition aged youth in Oakland? Join the founding Youth Leadership Team for CTE HUB@1025 and reimagine career education and housing for youth in Oakland. (This is an opportunity to earn up to $30/hr!)
Job Description
Sign in to Google
to save your progress.
Learn more
* Indicates required question
PART 1: APPLICANT INFORMATION
Please complete the following section. All information shared on this application will be kept confidential.
Name
*
Your answer
Last Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Email
*
Your answer
Address
*
Your answer
How did you learn about the CTE HUB@1025 Youth Leadership Application? If referred, who referred you?
*
Your answer
If you are being referred, what is the name of the person referring you?
Your answer
Gender
*
Your answer
Pronouns
*
Your answer
We value the experiences of young people who are systems impacted and closest to the issues. Please check all that apply. (this is confidential)
*
Undocumented and/or unaccompanied minor
Current/Former Foster Youth
Queer (lesbian, gay, bi, etc.)
Trans (non-binary, gender non-conforming, etc.)
Person who is or who has been unhoused
Young Parent
Sexually Exploited Youth
Survivor of Abuse (physical, emotional, mental, etc.)
Housing insecure (If you have slept or are sleeping overnight in a temporary location because there is not a permanent home to return to.)
Juvenile Justice System Impacted (i.e. Probation)
Other:
Required
What race(s) do you consider yourself? Check all that apply.
*
Asian/Pacific Islander
Latinx
American Indian/Native
Black/African American
Caucasian/White
Decline to respond
Other:
Required
What ethnic group(s) do you belong to?
*
Your answer
Community Organization Affiliations: Please list any and all community organizations you have been involved in or are currently involved in and your role.. [e.g. Youth Alive Peer Educator, RJ Student Leader, ACC Leader, New Door-participant, Youth Together Organizer, FLY etc.
*
Your answer
Please list any school you attended or currently attend?
*
Your answer
Please check all that apply:
*
OUSD Alumni
OUSD current student
Peralta College Student
GED
Other:
Required
Time availability and Technology Access:
These questions are required to get an idea of what technology needs are on the team and time availability.
Are you available the first and third Thursdays 4-6pm?
*
Yes
No
Maybe
Are you available to attend meetings and work with your team for up to 10 hours per month for 12 months?
*
Yes
No
Do you have access to a computer that works for zoom meetings?
*
Yes
No
Do you have access to reliable wifi or the internet?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
