OSY Youth Workforce Center Interest Form
Greetings prospective students! Thank you for completing the INTEREST FORM for Youth Workforce Center's Out-of-School Youth Program. Please complete the following questionnaire as honestly as possible. Once you have completed the interest form we will reach out to you to inform you of the next steps.

PLEASE NOTE: THIS IS NOT AN APPLICATION FORM.

The Youth Workforce Center is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. VA Relay: 711. The Youth Workforce Center is funded 100% through WIOA Title I funds via an award made to NHREC via HRWC via pass through entity VCCS.
Email *
First and Last Name *
Date of Birth ( Month, Day, Year) *
MM
/
DD
/
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Phone Number (including area code) *
Full Current Address (including city and zip code) *
Occupational Skills Training Interest  *
Do you have a high school diploma or GED? *
Required
Do you have children? *
Have you worked in the last 6 months?  If yes, were you full or part time? *
Required
If employed how much did you earn per hour? Put 0 if you did not work. *
Are you currently in foster care or have you aged out of foster care? *
Are you a school drop-out? *
Are you currently homeless? *
Do you have a documented disability? *
Do you receive any of the following benefits? *
Required
Have you been arrested or charged with an offense other than a minor traffic infraction? *
How did you hear about us? *
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