YEP Eligibility | Hempsteadworks

Youth Employment Program (YEP)
Pre-Screening Questionnaire

All fields are required.

Step 1 of 4

Please complete this form to be contacted. This form will help us determine your eligibility for the Youth Employment Program. After you submit, a staff member will contact you with the next steps. If you have any questions, please contact HempsteadWorks Youth Department at 516-485-5000 dial 4.

First Name:

Email:

Last Name:

Phone (XXX-XXX-XXXX):

Address:

City

Date of Birth required

Zip:

Are you currently between the ages of 16 and 20?

Yes

hidden validation reason

hidden is eligible

Yes

Youth Employment Program (YEP) Pre-Screening Questionnaire

Step 1 of 4

Youth Employment Program (YEP)
Pre-Screening Questionnaire