Youth

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Youth Application Form

* Indicates required field

Full Name *

First

Last

Please insert your full legal name.

Age *

How old are you? We inquire this information to determine eligibility. You must be 17-24 years of age to receive Project YES services.

Phone Number *

A phone number or email must be provided. Both are not required, but at least one must be provided for us to contact you. Otherwise, please visit us in-person to get started.

Email *

A phone number or email must be provided. Both are not required, but at least one must be provided for us to contact you. Otherwise, please visit us in-person to get started.

Address *

We have a variety of office locations in Stanislaus County. Here you are being inquired for your address so that we can better assist and direct you as needed.

Any Children? *

In custody of or expecting children? We inquire this information to determine additional program eligibility.

Foster Youth? *

Currently or previously enlisted into the Foster Care System? We inquire this information to determine additional program eligibility.

Career/Job Interests *

Technology/Computers Retail/Customer Service Welding Auto Mechanics Education/Working With Kids Social Services/Social Worker Law Enforcement Truck Driving Warehouse Medical/Dental Ag Related jobs Maintenance Electrician Construction Other

Please let us know what career/job you are interested in, so that we may focus our efforts more efficiently. Check all that apply.

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