Youth Application Form

How did you hear about the Mayor's Youth Workforce & Career Training Program?*

Contact & Personal Information

Name*

First Last

Date of Birth*

Please note, you must be at least 16 years old by 7/1/2020 in order to participate in the program. Proof of age will be required.

MM

DD

YYYY

Home Information*

Street Address City State ZIP Code

Email*

* Youth email required to send meeting notifications

Applicant Cell Phone*

* Youth cell phone number required to send meeting notifications

Which race/ethnicity do you identify as?*

Which gender do you identify as?*

Do you identify with any of these groups? Choose all that apply.*

Youth Employment Information

Have you ever been employed?*

Yes
No

Name of Employer

Dates of Employment

Reason for Leaving the Job?

Are you currently in school?*

Yes
No

Name of your school / college

Last grade completed:*

Career Interests*

List your top three areas of career interest (for example: scientist, nurse, dentist, teacher, military, business, chef, mechanic, artist)

Upload Resume*

Please upload your completed resume as a PDF or Microsoft Word document. You will NOT be able to complete your application without a resume.

* View a sample resume for guidance: .doc / .pdf

What access to do you have to the internet to complete on-line training this summer. Please check all that apply.*

Cell Phone
Computer
iPad / Tablet
Chromebook
Other (please specify below)

Other

Are you over 18 years of age?*

Yes
No

Please select the size of your household*

Please select your annual household income range.*

Agreement & Consent

As a program participant I agree to demonstrate respect for all staff, volunteers, and colleagues in this program.
I will do my best at all times to model responsible behavior throughout the program.
If I act disrespectful, impolite, dress inappropriately at any time during the program, I may be asked to leave the program.
As a Trenton Youth Workforce & Career Training program participant, I am aware that I am a role model and will behave accordingly.

Photo and Video Release Form*

I agree to be photographed at activities related to the Mayor's Youth Workforce & Career Training Program. I understand that these photos may be used for Millhill newsletters, publications, media publicity, including social media.
I do not give permission to be photographed at activities related to the Mayor's Youth Workforce & Career Training Program.

*

Please use your cursor/mouse or finger (if you're on a phone or tablet) to sign in the space provided above.

Date*

MM

DD

YYYY

Parent Info (required if applicant is under 18)

Name of Parent / Guardian*

If you are under 18, your parent or guardian must complete this portion and sign below.

First Last

Parent Email*

Parent/Legal Guardian Cell*

Home Phone

Work Phone

Please select the size of your household*

Please select your annual household income range.*

Photo and Video Release Form*

I agree to be/have my child(ren) photographed at activities related to the Mayor's Youth Workforce & Career Training Program. I understand that these photos may be used for Millhill newsletters, publications, media publicity, including social media.
I do not give permission to be/have my child(ren) photographed at activities related to the Mayor's Youth Workforce & Career Training Program.

Consent

I give consent for my child to participate in the Mayor’s Youth Workforce and Career Training Program and will support their attendance and participation in this virtual training program.

Signature of Parent / Legal Guardian*

Please use your cursor/mouse or finger (if you're on a phone or tablet) to sign in the space provided above.

Date*

MM

DD

YYYY

Phone

This field is for validation purposes and should be left unchanged.