In-School Youth Inquiry | Hempsteadworks

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516-485-5000 | TTY: 1-800-662-1220

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In School Youth Program Inquiry Form

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Please submit the ISY Eligibility form to see if you are eligible.

ISY Eligibility Form

THIS IS NOT AN APPLICATION.

*First Name:

*Last Name:

*Phone Number (XXX-XXX-XXXX):

*Email:

*Parent/Guardian First Name:

*Parent/Guardian Last Name:

*Parent/Guardian Phone Number (XXX-XXX-XXXX):

*Are you a Town of Hempstead/City of Long Beach Resident?

Yes

*Are you between the ages of 14 and 21?

Yes

*Are you currently attending high school or college/university?

Yes

*Are you low income?

Yes

*Do you have one or more of the following barriers:

Is pregnant or parenting

Yes

Have a disability

Yes

Have been involved with the criminal justice system

Yes

Is homeless or a runaway

Yes

In foster care or have aged out of foster care

Yes

Is basic skills deficient

Yes

Is an English language learner

Yes

How did you hear about us?

Thank you for your submission. A youth team member will be in contact.

An error occurred. Please make sure you have filled in all required fields.

HempsteadWorks Career Center

50 Clinton St.

Suite 400

Hempstead, NY 11550

Accessibility

TEL: 516-485-5000

TTY: 1-800-662-1220

The Workforce Innovation and Opportunity Act financially assisted program is an equal opportunity employer / program. Auxiliary aids and services are available upon request to individuals with disabilities. To request reasonable accommodation, please call our Disability Resources Coordinator at (516) 485-5000 ext. 1113.

A service of the Town of Hempstead/City of Long Beach Workforce Development Board

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