YES Initiative Summer Youth Job Skills and Employment Application
Ages 14 to 24 ***Application does not guarantee acceptance. Placement is determined by application, interview and available funding***
Name (First I Middle I Last)
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Contact Phone Number
Your answer
Alternate Phone Number
Your answer
Email Address
Your answer
Last School Attended
Your answer
Last Grade Completed
Your answer
Do you have reliable transportation?
Do you have a driver's license?
Do you have a student identification card?
Are you available to attend a job skills training course beginning June 5?
Do you work well with others?
Do you work well with children?
Do you work well in an office environment?
Do you like being outdoors?
Please list an emergency contact (First and Last Name)
Your answer
Please list an emergency phone number
Your answer
Thank you for applying. You will be notified in April.
***Application does not guarantee acceptance. Placement is determined by application, interview and available funding***
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