YouthWork Interest Form Question Title * 1. Applicant Contact Name Home City/Town Email Address Phone Number Question Title * 2. Parent/Referral Contact Name Relationship School/Organization (if applicable) Email Address Phone Number Applicant InformationFill in as much detail as possible, please. Question Title * 3. Age Question Title * 4. If you are under 17, when do you turn 17? Question Title * 5. Are you still in school? Yes, I am in High School Yes, I am in College Yes, I attend school part-time No, I dropped out of school No, I graduated Other (please explain below) Other/Comments Question Title * 6. What school do you attend (if any)? Question Title * 7. Do you have transportation to and from the meeting location (usually a common location central to other participants on the crew)?P.S. It's ok if you don't! We are happy to brainstorm and/or provide transportation. Yes, self Yes, parent/guardian Yes, BATA/other transportation No Comments (optional) Question Title * 8. Do you have internet access at home? Yes, with a phone or tablet Yes, with a computer Can access somewhere else No Comments (optional) Question Title * 9. Estimated date available to start (or open): Question Title * 10. Estimated last date available (or open): Question Title * 11. YouthWork crews serve on projects 4 days per week (Monday - Thursday). Please note your availability below. Two days per week Four days per week Other/Neither/Comments Question Title * 12. YouthWork is typically serving on projects Monday through Thursday. Except for school, do you have any other commitments that may impact your availability? If yes, please explain. Is this occasional or regular? Yes No Comments (optional) Question Title * 13. Special considerations, needs, or anything else we should know? Question Title * 14. How did you learn about this opportunity? Career website School (teacher, counselor, etc.) Child and Family Services staff Referral from another organization/caseworker Indeed.com Co-worker or friend Parent/caregiver/another adult Online (please state where in comment box below) Served with YouthWork in the past Radio Business Expo Newspaper Social Media Other/Notes Submit