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2. About the Advancing Careers and Employment Program

   The ACE program seeks to provide youth who face barriers to employment with an opportunity to build skills, experience leadership roles, and gain valuable work. 

4. Personal Information
6. First Name*
7. Last Name*
9. Phone Number*
10. Email Address*
12. Are you between the ages of 16-24?*

    1. Yes
    2. No
14. Do you face a barrier to employment? Check all that apply.*

    1. I am eligible for free or reduced lunch at school.
    2. I have an Individual Education Plan or have a physical, mental, learning, emotional, or behavioral disability.
    3. I am pregnant, an expecting parent, or a parent.
    4. I am/will be the first person in my immediate family to receive a high school diploma.
    5. I am/will be the first person in my immediate family to graduate from college.
    6. I and/or my parents immigrated to the U.S.
    7. I am currently taking English Language Learner (ELL) classes.
    8. I have experienced homelessness or stayed in temporary housing in the last 6 months.
    9. I have received or am currently receiving foster care services.
    10. I have/a caregiver has had interactions with the criminal justice system.
    11. I dropped out of high school before receiving a diploma or GED, or am attending an alternative learning center.
    12. I am from a community of color who are under-represented in the workforce
    13. I receive (or someone in my family receives) public assistance
    14. Other
16. Please explain
18. Will you be attending any other camps, programs, sports practices, etc. that will conflict with a summer internship?*

    1. Yes
    2. No
20. If yes, enter dates and time frames, if known
22. What type of internship would you like to work in? Select all that apply.*

    1. Administration
    2. Diversity, Equity and Inclusion (DEI)
    3. Community Development
    4. Police Department
    5. Fire Department
    6. Public Works
    7. Arts
    8. Recreation
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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