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* 1. Applicant Contact

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* 2. Parent/Referral Contact

Applicant Information
Fill in as much detail as possible, please.

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* 3. Age

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* 4. If under 17 and still in school, when do you turn 17?

If under 17 and not in school, please note that here.

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* 5. 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.

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* 6. Do you have internet access at home?

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* 7. Estimated date available to start:

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* 8. Estimated last date available:

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* 9. 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?

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* 10. Special considerations, needs, or anything else we should know?

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