San Jose YouthConnect Interest Form
Thanks so much for your interest in Juma's YouthConnect program! Juma is a non-profit that provides part-time jobs at Levi's, Avaya, and SAP (18+ only) stadiums for folks 16-24. The goal of YouthConnect is to help you earn money, learn how to manage it, help you figure out what you want to do next (another job or school), and then help you get there!

This is an Interest Form to help us learn a little bit about you and make sure this program is the best fit. Just so you know, stadium jobs are only about 8-12 hours a week - NOT full-time - so if you are looking for full-time work, this may not be the right program.

Once you fill out this out, we'll give you a call to talk more about Juma, answer any questions you have, and let you know about next steps. If you're still interested, we'll send you an official online application and schedule an interview.

In the meantime, if you have any questions, you can give us a call at 408-368-3529, or message Kendra at kendrao@juma.org. We look forward to learning more about you!

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number that we may contact you with (no dashes please, for example: 4445557777) *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Do you participate with any of the following organizations? (Select all that apply) *
Required
Are you currently in school? *
If you are in school, what's the name of the school you're currently attending? (If you're not in school, just write NA)
Your answer
Are you currently working? *
How many hours a week do you want to work? *
Do you have any history with Foster Care? *
In the past has your housing been temporary or have you ever experienced homelessness? *
Have you ever been arrested, convicted of a crime, or served time in jail? *
It's okay if you have! In fact, our program is about making sure you have the resources you need to be successful in work and/or school. We won't share info about your background with anyone outside our organization without your consent.
Are you pregnant, or do you have any children?
Do you come from a low-income household? (You may be low-income if you or someone in your family qualifies for TANF, EBT, or free/reduced lunch) *
Use the table below to estimate whether you come from a low-income household. Juma will never ask for proof of your response.
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That's it! Thanks so much for taking the time to answer these questions. We'll be getting in touch with you soon!
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