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Feeling lost? You're not alone.


The Platform to Employment Youth program is here to help you find a career!


Many young people face challenges finding their path after high school. If you’re struggling to find your next step, Platform to Employment Youth is here to help. The program empowers you by offering hands-on learning experiences, mentorship, and exposure to real-world challenges. It strengthens pathways to employment opportunities and careers fostering economic self-sufficiency.


Please complete the application and someone from our Platform to Employment Youth Team will contact you.


We look forward to helping you on your path to a career you will be proud of.

This application is a confidential document and will be used only to evaluate your eligibility for the Platform to Employment Youth Program. All information will be kept strictly confidential and will only be shared with The WorkPlace staff. You must answer ALL questions that are applicable and marked with an *. You may be required to provide documentation for any of the information entered on this application

PERSONAL INFORMATION
* First Name
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* Last Name
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* Cell Phone
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* Email address
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* Street Address
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* City or Town
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* State
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* Zip Code
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* Preferred method of contact (Select 2)
Please list an emergency contact and their contact phone number
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* Your Date of Birth: Month/Day/Year as MM/DD/YYYY Example: January 15, 1990 is 01/15/1990
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* Your Age
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* Gender
* Race/Ethnicity (check all that apply)
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* What is your primary language?
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* Do you live with: (Check all that apply)
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* Are you a U.S. citizen?
* If you are 18 or over, are you registered for the armed services?
* Have you been involved in the justice system (e.g., arrested, detained, probation)?
* Have you been involved with the Department of Children and Families (DCF)?

EDUCATION INFORMATION
* What is the highest grade in school that you have completed?
If you graduated from high school, please provide graduation date
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School Last Attended
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City/State of School
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EMPLOYMENT INFORMATION
* Have you previously been employed?
If yes, list the last job held: Job Title, Employer, Dates of Employment, Reason for Leaving
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PROGRAM INTEREST
How did you hear about the Youth Platform to Employment Program?
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* What are your primary reasons for applying to this program? (Check all that apply)
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* Are you available to participate in a 5-day per week program (Monday to Friday, 9 a.m. to 1 p.m.)?
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If no, please specify your availability:
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* What form of transportation do you use?
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* What are your career interests or areas you would like to explore through this program?
* Do you have any special needs or require accommodations to participate in this program?
If yes, please describe:
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Is there anything else you would like us to know about you?
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Once you submit your application, a staff member will contact you with more information about the program and your eligibility.
APPLY
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