Youth Online Referral Form

The Workforce Connection is accepting referrals for youth who meet the following criteria:

* Ages 16-21 at the time of the application certification
* Low Income

AND

Are Out of School Youth

* Lacks a High School Diploma or GED

OR

In School Youth (Currently enrolled and attending school)

* Tests below the 9th grade level in Math and or Reading Skills


* 1. Your Contact Information

* 2. Your relationship to the youth

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