Youth Works! Academy

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First name *

Last name *

Date of birth *

Month

Day

Year

Phone number *

Email address *

Street address *

City *

Zip code *

Do you live in Ramsey County? *

Yes

No

Do you have any experience as a young worker? *

Part-time or full-time employment

Internships or apprenticeships

Volunteering or community service roles

Freelance projects, family business contributions or non-traditional work

Other

If other, please explain: *

Are currently attending high school or have you attended before? *

Yes

No

What school do you/did you attend? *

Have you or someone you know have barriers affecting your education and career goals? *

Yes

No

If yes, please explain: *

Have you ever served on or are you currently participating in an advisory board or committee? *

Yes

No

If yes, please list the organization(s): *

Please feel free to share anything about yourself

How did you hear about this opportunity? *

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