2019 YouthWorks Year-Round Jobs program
by the City of Lawrence, MassHire MVWB, MassHire MVCC, Commonwealth Corporation

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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 (masshiremvwb.org)/Career Center (masshiremvcc.com) 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.
Email address *
YouthWorks Jobs Program Application
Have you participated in our YouthWorks program before?
If yes, which year(s)?
Your answer
First Name
Your answer
Middle Initial
Your answer
Last Name(s)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Contact Information
Main Phone Number
So we may reach you directly
Your answer
Parent/Guardian First & Last Name
Your answer
Parent/Guardian Phone Number
Your answer
Emergency Contact First & Last Name
If different from Parent/Guardian
Your answer
Emergency Contact Phone Number
Your answer
Home Address
Street Address
Your answer
Apartment/Floor #
Your answer
City
Your answer
Zip Code
Your answer
Education
Are you currently enrolled in a Middle School, High School or GED/HiSet (High School Equivalency) Program?
Name of School or Program
Your answer
Current Grade in School
Year of High School Graduation or GED/HiSet Completion
Your answer
Will you be attending College/University in the Fall of 2019?
If yes, name of College/University
Your answer
If you are NOT in school, did you drop out of high school?
Family Income
Number of people living with you in the household
Your answer
Estimate your family income for the last 6 months
Your answer
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
Work/Volunteer Experience
Please include your most recent position.
Job Title
Your answer
Employer/Organization Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Job Duties & Responsibilities
Your answer
Reason for leaving
Your answer
Transportation
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?
Additional Information
Ethnicity
Check all that apply
Check all that apply:
Age
This will determine what forms are needed if you are under 18yo or 18yr+
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