Youth Entrepreneurship Program Registration

Thank you for registering for the Youth Entrepreneurship Program (YEP). This program will provide youth and young adults age 16-24 with the training and skills needed to launch a small business. Youth will receive a $50 VISA gift card weekly based on attendance and participation.

Summer Cohort information:
September 14 - October 24 (Phase 1 - Foundations)
November 2 - December 14* (Phase 2 - Creating a Pitch Deck)**
Weekly workshops will be held on Wednesday evenings from 5:30 - 8:00 p.m. at Zanewood Recreation Center (7100 Zane Ave N, Brooklyn Park).

*NO CLASS November 24

**You must attend all six weeks of Phase 1 to move on to Phase 2.

To participate in this program, you must:
- Be age 16-24
- Live and/or attend school in Brooklyn Center or Brooklyn Park
- Have permission from a parent/guardian if you are younger than 18

If you have questions, please contact Maddie Hurst, Program Coordinator, at madison.hurst@brooklynk.works or 763-453-2706.

If you need translation support, please contact 763-453-2706.
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To register for YEP you will need to respond to each question below. This should only take 10 minutes and will help BrookLynk staff get to know you and how we can best support your employment and training needs.

Tennessen Warning:
BrookLynk receives state or federally funded resources. Therefore we will have to collect personal and family information from you. The information we are asking you to provide is private declared by Minnesota Statute 13.47 subdivision 2. We are obligated to inform you the reason for collecting this data and how we will use the data. You are not legally required to answer the questions, but it greatly assists us to determine the ability of us serving you. The data collected may be shared with other government organizations who have the legal authority to obtain this information such as U.S. Department of Labor, Office of Higher Education, Office of the Legislative Auditor, State Auditor, employment and training service providers, welfare agencies. The collected data may be shared in a court order situation or with schools in which you may attend. If you need more information or clarification on DEED data privacy policies, please visit http://mn.gov/deed/about/what-guides-us/privacy.

Information that may be asked if you choose to proceed may include the following.
Name, address, birth date, contact information, and emergency contacts: Used to identify you and connect with you.
Gender, ethnicity, race, disability, veteran status, family status, and economic status: Assist with determining eligibility into the program.
Other personal information: Information such as work history and career goals help us to adequately match eligible participants to the program.

General Information

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* 1. First Name

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* 2. Middle Name

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* 3. Last Name

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* 4. Your email address
YOU WILL BE contacted via email, so please provide the email address you check most often. If you do not have an e-mail address, we recommend using your school e-mail address or setting up a free one at gmail.com. You may use a parent or family member's email address if you are able to regularly check it for emails from BrookLynk.

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* 5. Primary Phone Number
Use format XXX-XXX-XXXX
This should be a number where you can be reached. It is acceptable to use a parent or family member's phone number.

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* 6. Can BrookLynk send text reminders and messages to the phone number provided?

Yes

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* 7. Street Address
Example: 1234 Welcome Ave N

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* 8. Apartment or Unit Number

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* 9. City
Select one or add other

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* 10. Zip Code

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* 11. Parent or Caregiver's Name

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* 12. Parent or Caregiver's Email Address

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* 13. Parent or Caregiver's Phone Number

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* 14. What kind of business are you interested in starting?
Please let us know if you have already started a business.

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* 15. What is your current school status?

Currently attending high school

Currently attending an alternative high school

Currently attending Adult Basic Education (for example: adult diploma or GED Classes)

Currently enrolled in college or post secondary

Not currently attending any school program

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* 16. What grade are you in?
If you are not currently enrolled in school, please select the highest level of education you have completed.

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* 17. Name of school you are currently attending
If you are currently not attending school, please select "Not Currently Enrolled" or if you do not see your school listed, please select "Other" and type in your school name

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* 18. What is your employment status?

Working full time (more than 28 hours a week)

Working part time (28 hours a week or less)

Not currently employed

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* 19. Gender
Select one

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* 20. Date of Birth
(MM/DD/YYYY)

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* 21. Work Eligibility - Please select the option that best applies to you
All BrookLynk employers require verified documents to work

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* 22. Are you a veteran?

Yes

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* 23. Do you have a disability?

Yes

Yes, but disability is not a barrier to employment

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* 24. What is your race?
Select one that closely reflects your racial identity or select other and specify.

American Indian or Alaska Native

Asian or Asian American

Black or African American or African

Hispanic or Latinx

Native Hawaiian or other Pacific Islander

White or Caucasian

Other (please specify)

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* 25. Will this be your first time participating in a BrookLynk Program?
Check all that apply.

Yes

Other (please specify)

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* 26. How did you hear about BrookLynk?
Please select all that apply

Presentation by BrookLynk staff

Saw an advertisement

Social media

Participated in BrookLynk previously

Heard about it from family member or friend

Other (please specify)

Barriers to Employment Questions:
Part of BrookLynk's mission is to "connect young people in the Brooklyns facing barriers to employment". To help us meet our mission and best serve youth in the community, please answer the following question:

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* 27. Which of the following applies to you?
Select all that apply.

I have an IEP or 504 plan

I am an English Language Learner (ELL)

I will be the first person in my family to graduate high school

I will be the first person in my family to attend college

I or my family immigrated to the U.S.

I am pregnant or parenting

I have been homeless or stayed in temporary housing in the last 6 months

I have or am currently receiving foster care services

I am eligible for free and reduced lunch at school

I am involved in the juvenile or adult justice system

I am the child of chemically dependent parent

I am recovering from chemical dependency

None of the above

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* 28. Do you or your family receive public assistance?

SSI

SSDI

TANF/MFIP

SNAP/food stamps

General Assistance

Refugee Assistance

None of the above

Other (please specify)

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* 29. How many people live in your household, including yourself?

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* 30. How many people living in your household are under 18 years old?

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* 31. What is your household's annual income?
* Answer can only include numbers, do not add words.

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* 32. Do you certify (confirm) that, to your knowledge, all of the information you have submitted this year is correct?

Yes

Thank you!

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100% of survey complete.

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* 1. First Name

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* 2. Middle Name

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* 3. Last Name

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* 5. Primary Phone NumberUse format XXX-XXX-XXXXThis should be a number where you can be reached. It is acceptable to use a parent or family member's phone number.

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* 6. Can BrookLynk send text reminders and messages to the phone number provided?

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* 7. Street AddressExample: 1234 Welcome Ave N

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* 8. Apartment or Unit Number

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* 9. CitySelect one or add other

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* 10. Zip Code

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* 11. Parent or Caregiver's Name

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* 12. Parent or Caregiver's Email Address

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* 13. Parent or Caregiver's Phone Number

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* 14. What kind of business are you interested in starting?Please let us know if you have already started a business.

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* 15. What is your current school status?

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* 16. What grade are you in?If you are not currently enrolled in school, please select the highest level of education you have completed.

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* 17. Name of school you are currently attendingIf you are currently not attending school, please select "Not Currently Enrolled" or if you do not see your school listed, please select "Other" and type in your school name

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* 18. What is your employment status?

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* 19. GenderSelect one

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* 20. Date of Birth(MM/DD/YYYY)

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* 21. Work Eligibility - Please select the option that best applies to youAll BrookLynk employers require verified documents to work

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* 22. Are you a veteran?

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* 23. Do you have a disability?

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* 24. What is your race? Select one that closely reflects your racial identity or select other and specify.

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* 25. Will this be your first time participating in a BrookLynk Program? Check all that apply.

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* 26. How did you hear about BrookLynk?Please select all that apply

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* 27. Which of the following applies to you?Select all that apply.

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* 28. Do you or your family receive public assistance?

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* 29. How many people live in your household, including yourself?

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* 30. How many people living in your household are under 18 years old?

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* 31. What is your household's annual income?* Answer can only include numbers, do not add words.

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* 32. Do you certify (confirm) that, to your knowledge, all of the information you have submitted this year is correct?

* 5. Primary Phone Number
Use format XXX-XXX-XXXX
This should be a number where you can be reached. It is acceptable to use a parent or family member's phone number.

* 7. Street Address
Example: 1234 Welcome Ave N

* 9. City
Select one or add other

* 14. What kind of business are you interested in starting?
Please let us know if you have already started a business.

* 16. What grade are you in?
If you are not currently enrolled in school, please select the highest level of education you have completed.

* 17. Name of school you are currently attending
If you are currently not attending school, please select "Not Currently Enrolled" or if you do not see your school listed, please select "Other" and type in your school name

* 19. Gender
Select one

* 20. Date of Birth
(MM/DD/YYYY)

* 21. Work Eligibility - Please select the option that best applies to you
All BrookLynk employers require verified documents to work

* 24. What is your race?
Select one that closely reflects your racial identity or select other and specify.

* 25. Will this be your first time participating in a BrookLynk Program?
Check all that apply.

* 26. How did you hear about BrookLynk?
Please select all that apply

* 27. Which of the following applies to you?
Select all that apply.

* 31. What is your household's annual income?
* Answer can only include numbers, do not add words.