2022 Steps to Success Work Connections Application Form
Work Connections is an internship program for active Steps students who attend Brookline High School. Students are placed in a variety of settings around Brookline in non-profit and municipal settings. Summer placements run for 6 weeks over the summer and will be for about 30 hours a week and include paid training.

Please complete each section below and someone will be in touch with you regarding your application.
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First *
Last *
Street Address: *
Town/zip code *
Phone number *
Email: *
Grade: *
Date of birth *
Graduation Year: *
I identify myself as *
Parent/guardian name *
Parent/Guardian Phone Number: *
Race (how do you identify yourself):   *
Ethnicity: Are you Hispanic or Latino?   *
Which language (other than English) is most often used at home? Write N/A if this does not apply to you. *
Do you have any summer plans?  Traveling, summer school or camps?   *
Are you a METCO participant? *
Do you live at a Brookline Housing Authority property? *
Do you live in a household headed by a female? *
Have you participated in Work Connections before? *
If yes, at what job site and what year(s)?
What were your responsibilities?
Please list 3 qualities or strengths that will make you a good candidate for the Steps to Success Work Connections Program. *
Please choose the three industries you would most like to explore this summer: *
Have you had the Covid-19 vaccine?
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