Advanced Training Interest Form Construction
This form is for youth participants interested in medical training between the ages 18-24. Please make sure you meet the requirements before continuing with the form. The following trainings are free and funded by the Department of Youth & Community Development. Our next classes will be starting February 2025!
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Email *
Eligibility Requirements - These are the program eligibility requirements set by The Department of Youth and Community Development (DYCD) Program. You must meet all requirements to be considered for this program.  *
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I am aware that I am applying for the Commonpoint Queens Youth Opportunity Hub location (82-17 Parsons Blvd. Jamaica NY 11432) *
I am aware that classes will be for 8 weeks from 4:30pm-8:30pm Mondays through Fridays *
Last Name *
First Name *
What gender pronouns do you identify with: *
Write your date of birth mm/dd/yyyy *
Please enter a phone number to reach you at: *
Please write your FULL Address - make sure to include Apartment number and Zip code *
Which NYC borough do you currently live in (required) *
Are you currently working? *
If you are working, what is your work schedule (put N/A) if you are unemployed: *
If you are working, please write your job title and name of the company (if unemployed put N/A) *
Will you be employed at your current job in the Spring? (put N/A if you are unemployed) *
Are you looking for employment in the construction field? *
Do you have any experience in the following fields? *
Required
Are you able to complete 150-250 hours of paid internship during the course of the program? *
What is your highest level of education? *
Please write the High School you last attended *
Please write the year you graduated High School or received your GED *
Will you be enrolled in any college classes? *
Do you have any experience working in construction? *
How did you hear about this program? *
Do you currently receive SNAP benefits? *
Are you a Legal Guardian/Parent? *
Will you be requiring a HRA referral for child care supports in order to attend classes or internship? *
All classes will be in person in Queens 82-17 Parsons Blvd, Jamaica NY 11432. Are you willing to commute to Queens for In-person classes? *
Please check all that apply to you *
Required
Are you receiving unemployment benefits? *
Now that you have completed this form, please be sure to check your email for the next steps. 

"If you do not meet all the requirements listed above (Ages 18-24 ONLY, Authorized to work in the US, NYC resident and has HS or HSE Diploma) you will not be considered for the program". Please leave your initials to acknowledge you understand this statement.  
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