Application and Consent

Thank you for your interest in Youth Culture Inc. programs!

Please register for a Career Coaching session with us. We will help open your eyes to new opportunities and career paths, provide interview practice, direct you to useful resources, and brainstorm ways you can gain experience today for your future tomorrow.
Please note that we need parental permission to participate in this program if you're under the age of 18.
Thank you!
the Youth Culture Team

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* 1. What's your first name?

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* 2. What's your last name?

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* 3. I identify as:

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* 4. What level of education are you at?

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* 5. Do you self-identify as a member of a designated group listed below?

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* 6. What's your mailing address?

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* 7. When are you available for your session?

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* 8. Why are you interested in Career Coaching?

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