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Mayor's Youth Workforce Experience Application SUMMER INTERNSHIP 2019

  1. Mayor's Summer Youth Employment Program

    Thank you so much for your interest in participating in the 2019 Mayor’s Youth Workforce Experience, sponsored by the Office of Mayor-President Sharon Weston Broome. Scholars accepted to the summer internship program will participate in an 8-week mentoring and workforce development experience consisting 15-20 hours per week of workplace experience, support from a WorkPlace Mentor, and weekly Tool Time sessions.

    Tool Time sessions are aimed at teaching life skills, workforce skills and acquiring needed certifications for graduation. Scholars will receive a stipend based on evaluations completed by the WorkPlace Mentors, Program Advisors, Tool Time attendance, completion of personal development projects, and certifications acquired.

    Scholars can earn between $1,000-1,200 based on their performance throughout the duration of the program. There is limited space in the program so please read all the requirements carefully and fully complete the application. All requirements must be met to be considered for participation in the program. Applications MUST be submitted in no later than 5 p.m. Friday, April 26.

  2. Summer Youth Internship

    Please fill out ALL sections. If you have any questions, please email Program Manager at [email protected]

  3. Requirements:

    • Ages 14-24, must have completed the 9th grade by May 2019 school year.

    • Commit to the entirety of the program without ANY exclusions.

    • Not currently employed.

    • Submit completed application.

  4. Application

    There is limited space in the program so please read all the requirements carefully and fully complete the application. All requirements must be met to be considered for participation in the program. Applications MUST be submitted in no later than Friday, April 26 at 5:00 p.m.

  5. If you have a referral code, enter it here. (Optional)

  6. Applicant/Scholar's Information

  7. Gender*

  8. Are you currently employed?*

  9. Ethnicity:

  10. Highest Level of Education:*

  11. Current Grade (if still in school):

  12. T-Shirt Size:

  13. Does applicant qualify for Healthy Louisiana (Medicaid & LA CHIP)?*

  14. If yes, please select a provider:

  15. Household and Parent/Guardian Information

  16. Please indicate your household's total income:

  17. With whom does the applicant live?*

    (Select all that apply.)

  18. Please tell us your relationship to the head of your household.

  19. (List the number of children under 18 and the number of people 18 and older separately; specify whether they're adults or children.)

  20. Parent/Guardian Information:

  21. Terms & Agreements

  22. Scholar Interest Survey

    Select the industry you are most interested in:

  23. (Please tell us what you are hoping to gain from this opportunity.)

  24. Applicant Agreement

    Please read and check off each statement.

  25. Applicant's Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  26. Please read and check each statement:*

  27. Parent/Guardian's Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  28. Please read and check each statement:

  29. Leave This Blank:

  30. This field is not part of the form submission.