Project Youth+ Referral - Out of School Youth
Please complete the form below to apply for the Project Youth+ Out of School Youth Program.
This form is for youth who are not currently attending school
One of our Coaches will be in touch!
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Name of applicant (First and Last)
Are you currently in school?
Not in school
Who told you about this program?
What county do you live in?
Please check all of the following that apply to you:
Currently in school
Currently out of school
I have my diploma
I have my GED
Currently looking for work
I have a disability (physical, emotional, mental health, learning disability)
I have/had a 504 or IEP at school
I am pregnant
I am a parent
I have been involved in the juvenile justice system
I speak a language other than English at home
I am or was in Foster Care
I am houseless
I receive SNAP or TANF benefits
What are you looking for support with?
Finishing my GED or Diploma
Gaining skills for a job
Anything else you'd like us to know?
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