2019 YouthWorks Year-Round Jobs program
by the City of Lawrence, MassHire MVWB, MassHire MVCC, Commonwealth Corporation
Are you a Lawrence, Haverhill or Methuen youth, age 18-21, and interested in a PAID job?
After completing this online application, you will be directed to bring any required documents in person to one of our locations to determine your program eligibility. Your application will be reviewed by a MassHire Merrimack Valley Workforce Board (
)/Career Center (
) YouthWorks staff member.
Final list of participants will be determined by partners and a lottery process.
All information on this application will be kept confidential. The MassHire Merrimack Valley WorkforceBoard (MassHire MVWB) and the MassHire Merrimack Valley Career Center (MassHire MVCC) are funded in large part by federal and state grants. Data helps determine the level of funding for our region in future years.
YouthWorks Jobs Program Application
Have you participated in our YouthWorks program before?
If yes, which year(s)?
Date of Birth
Main Phone Number
So we may reach you directly
Parent/Guardian First & Last Name
Parent/Guardian Phone Number
Emergency Contact First & Last Name
If different from Parent/Guardian
Emergency Contact Phone Number
Are you currently enrolled in a Middle School, High School or GED/HiSet (High School Equivalency) Program?
None of the above
Name of School or Program
Current Grade in School
Year of High School Graduation or GED/HiSet Completion
Will you be attending College/University in the Fall of 2019?
If yes, name of College/University
If you are NOT in school, did you drop out of high school?
Number of people living with you in the household
Estimate your family income for the last 6 months
If you are currently attending school, are you eligible to receive "Public School" Free or Reduced Lunch?
Do you or any member of your family receive any of the following?
Check all that apply
Unemployment Insurance Benefits
Please include your most recent position.
Job Duties & Responsibilities
Reason for leaving
In anticipation that you will be accepted to the program, please confirm the following.
Do you have a valid driver's license?
Do you have reliable transportation?
Check all that apply
Check all that apply:
Court-involved youth (juvenile arrest, gang-involved probation, CRA, etc.)
Foster youth or former foster care youth (DCF)
Independent Education Plan (IEP), 504 Plan, or documented disability
Child of a single, working parent
Poor academic performance
Limited English language proficiency
Currently homeless or a runaway youth
Sibling of a Gang-Involved Youth
This will determine what forms are needed if you are under 18yo or 18yr+
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