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Youth Connect Application
Please answer each question in its entirety. Contact the City's Human Resources Department at (912)764-0683 with any questions or concerns.
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* Indicates required question
Indicate your name.
*
Your answer
Indicate your email address.
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Your answer
Indicate your telephone number.
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Your answer
Indicate your street address (Include City/State/Zip Code).
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Your answer
Indicate your guardian's name.
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Your answer
Indicate your guardian's email address.
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Your answer
Indicate your guardian's telephone number.
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Your answer
Which grade will you be enrolled in during August 2022?
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10th
11th
12th
Indicate the name of the school you will be attending in August 2022.
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Your answer
Is one or more of your guardians employed at the City of Statesboro?
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Yes
No
List any civic organizations, school clubs or other groups you have served in.
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Your answer
Indicate why you are interested in Youth Connect and indicate outcomes you expect to achieve.
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Your answer
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