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YouthBuild here to help you find a career!


YouthBuild is a pre-apprentice program that helps residents that reside in the Southwest Region (20 towns) - between the ages of 16 and 24, earn their GED, learn construction, and other skilled trades. In addition, participants engage in academic supports and leadership opportunities through community service projects.


Please complete the application and someone from our YouthBuild 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 YouthBuild 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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* Home 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 only one)
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EDUCATION INFORMATION
* What is the highest grade in school that you have completed?
What is the name of your high school?
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Where was your high school located? (City and State)
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* What is your date of your high school graduation? (Type NA if you did not graduate.)
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* What is your primary language?
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EMPLOYMENT INFORMATION
* Are you currently employed?
If you are currently employed, what is your employment category? (Check all that apply)
* If you not currently employed, do you receive unemployment?
What is the length of your total work experience? All jobs combined.

OTHER INFORMATION
* Do you have any of the following barriers to employment? (Check all that apply.) Please understand we are here to support you and ask this question to assist us in making a proper referral or plan.
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How many people are in your household (including yourself)?
* Do you or anyone in your household receive food stamps?
* How are you being financially supported?
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* Are you a U.S. citizen?
* If you are 18 or over, are you registered for the armed services?
Do you have a valid driver's license?
* What form of transportation do you use?
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Some or all of our classes may be held virtually, do you have a device at home you can use for virtual training?
Do you have WIFI at home for use for virtual training?
* What social media sites do you use?
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How did you hear about the YouthBuild program? (check only one)

Once you submit your application, a staff member will contact you with more information about the program and your eligibility.
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