NYCHA YouthBuild Interest Form

Are you a NYCHA teen or young adult resident in Brownsville? Are you interested in earning your High School Equivalency diploma while gaining high-demand construction industry skills?

NYCHA YouthBuild is a new free career, learning and skills-building program for young people residing in the Brownsville neighborhood. NYCHA YouthBuild is a 6-month program where you will receive leadership development, academic support, hands-on construction skills with industry-recognized certifications, and case management support. This program is free and is funded by the US Department of Labor.

We are committed to partnering with you to assist in defining your career goals and life aspirations. Please fill out our interest form today to learn more.

Pictured above: "It's Not A Dream If You Will It" Herzl Street Mural by Misha Tyutyunik (Lead Artist) and Justin Batten (Assistant Artist)

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* 1. Name

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* 2. Date of Birth

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* 3. Age

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* 4. Contact Information

Home Phone

Cell Phone

E-mail

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* 5. Primary Language

English

Spanish

Chinese (Mandarin)

Chinese (Traditional)

Russian

Other (please specify)

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* 6. Home Street Address

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* 7. Are you a...

NYCHA Public Housing Resident

NYCHA Section 8 Resident (resides in NYCHA Building)

NYCHA Section 8 Resident (private residence)

Not sure

None of the above

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* 8. Please select your NYCHA Development (if applicable).

Other (please specify)

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* 9. Which sentence best describes you?

I have obtained my High School Diploma or GED.

I am currently enrolled in school and am on track to receive my High School Diploma.

I have not obtained my High School Diploma and I am interested in obtaining my GED.

Other (please specify)

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* 10. How interested are you in gaining construction skills?

Not at all interested

Somewhat interested

Very interested