TEMPO Application and Survey
If you are 16-24 years-old, not in school or employed and would like to work toward education and employment opportunities fill out the form below.
How old are you?
What is your gender?
What is your race?
Black or African American
Hispanic or Latino
What is the ZIP code for your current residence?
If you do not know your zip code, what block do you live on and what is your neighborhood called?
In the past year:
I haven't moved
I have moved once
I have moved two or more times
With whom are you currently living?
With one of my parents
With both of my parents
With other family members
With my boy/girlfriend, spouse, friend(s), or with a roommate
I move around a lot
I currently live in a shelter/transitional living program or group home
I live by myself or by myself with my children
Do you have children? If yes, how many?
I have no children
I have one child
I have two children
I have three children
I have four or more children
Have you ever been arrested or currently on probation?
Are you currently or have you ever been in foster care?
What is the highest level of education you have completed?
I have completed some high school
I have a high school diploma
I have a GED
I have completed some college
I have a college degree
Name the last school you attended:
Are you employed?
Will you need public transportation?
If you would like to be contacted and work towards an opportunity to further your education or employment then please fill out the information below:
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