Tri-Parish Works - Youth and Young Adult Eligibility Screening

Are you Age 16-24? Get empowered to control your future!

St. Tammany, St. Bernard, and Plaquemines Residents Only

It is a known fact that employers have certain expectations when hiring new workers. Understanding and meeting those expectations is a determining factor of success in the workplace. Whether you need assistance to obtain a diploma or degree or a paid work experience, this program is designed to empower and provide youth and young adults with the opportunity to develop and achieve goals through education and workforce training.

If you are 16 - 24 years old, determined, and serious about making a positive change in your life, then this is an incredible opportunity to help make it happen. If you are willing to giving it your best, we will be your partner in achieving success.

Your answers to these questions will help us determine if you meet initial criteria.

This is STEP 1

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* 1. Please provide the following contact information

First Name *

Last Name *

Parish you where you currently live (Must be St. Tammany, St. Bernard, or Plaquemines): *

Your Primary Phone/Texting Number: *

Your Email Address that is checked often: *

Your Date of Birth (mm/dd/yyyy): *

If under 18, Parent/Guardian Name (NA if not applicable):

If under 18, Parent/Guardian Phone/Texting Number (NA if not applicable):

If under 18, Parent/Guardian Email Address (NA if not applicable):

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* 2. Tell us about your school status:

Yes, I graduated from High school, and NOT enrolled in any other post-secondary school

I am still attending High School and plan to graduate

Yes, I graduated from High School and I am currently enrolled in post-secondary school

I am still attending High School, but considering

I am enrolled in a alternative program to obtain a high school diploma equivalent (HISET)

I have dropped out of High School and not planning to return now

What was the last grade level that you completed at which school? (Grad Level/School)

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* 3. Lots of people have life challenges. The purpose of WIOA funding is to help you overcome barriers. Many people face different barriers that can impact their lives. It is important that we understand the barriers that you have or have overcome in the past. Please select all that apply:

English is not your first language

Previously arrested for anything, regardless of the outcome

In the past or are currently in Foster Care

Are currently homeless, or not living at home

Have a disability, including a prior school-based 504 Plan or IEP

Are you pregnant? Parenting, even if not the custodial parent?

Received free or reduced lunch when you last attended school

Other (please specify)

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* 4. Do you ever feel like something is holding you back? What do you think it is?

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* 5. What does the phrase, "Take the next step," mean to you personally?

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* 6. REQUIREMENT FOR WORK EXPERIENCE - THIS IS NO JOKE

You MUST be COMPLETELY DRUG-FREE for at least 30 days to participate in PAID WORK EXPERIENCE. Please read and type YES next to each statement

If you don't know if you can pass a drug test right now, you should try again in 30 days. We will be more than happy to work with you.

You understand you may be asked to take your test at a monitored Drug Court, Sheriffs office, or a medical facility.

You understand if you fail the drug test, you will need to wait six (6) months before you can apply again.

You understand that any illegal drugs, including marijuana, no matter how small the quantity will ensure you fail the drug test.

You understand that there is no "detox" that will help someone trick a drug test

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* 7. We offer youth and young adults opportunities for paid work experience, numerous work-ready skills, career planning and coaching, access to more education, funding for training in high-demand occupations, financial incentives for making progress towards your goals, and help with overcoming barriers to your future success.

Which of these interests you the most? What are you hoping to gain from participating in a program like this?

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* 8. I certify that the information provided is true and accurate to the best of my knowledge. Please enter today's date

Today's date:

Date

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* 9. STEP 2: Please register or update your information in HiRE at www.louisianaworks.net, including any employment history.

Please let us know if you have any questions:

Once you speak with the Career Specialist, additional documentation will be requested, such as:

> Valid Driver's License, State ID, or Student ID
> Social Security Card
> If a male over the age of 18, Selective Service verification
> In most cases, verification of family income
> Additional documentation to verify eligibility will also be requested

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* 1. Please provide the following contact information

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* 2. Tell us about your school status:

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* 3. Lots of people have life challenges. The purpose of WIOA funding is to help you overcome barriers. Many people face different barriers that can impact their lives. It is important that we understand the barriers that you have or have overcome in the past. Please select all that apply:

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* 4. Do you ever feel like something is holding you back? What do you think it is?

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* 5. What does the phrase, "Take the next step," mean to you personally?

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* 8. I certify that the information provided is true and accurate to the best of my knowledge. Please enter today's date

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* 9. STEP 2: Please register or update your information in HiRE at www.louisianaworks.net, including any employment history.Please let us know if you have any questions:

* 9. STEP 2: Please register or update your information in HiRE at www.louisianaworks.net, including any employment history.

Please let us know if you have any questions: