Youth – Michigan Works! Southeast

Youth & Young Adults

Who Can participate?

To be eligible for Summer Youth Employment, you must be between 16-24 years old at the time programming begins AND currently residing in, or attend school in, Jackson County.

Applications close May 17th. Apply today!

Please have the following items ready before applying:

Annual household income
Parent/Guardian contact information
Benefits you and/or your family recieve (e.g. Free or Reduced Lunch, SNAP, Bridge Card, TANF, etc.)

Youth Application

Name(Required)

First Last

Date of Birth(Required)

Youth Email(Required)

Youth Phone(Required)

Phone Number Type(Required)

Cell Phone

Landline

Gender

Race/Ethnicity?

African American/Black

American Indian/Alaskan Native

Asian

Arab American/Middle Eastern or North African

Hispanic/Latino

Native Hawaiian/Pacific Islander

Biracial/Multiracial

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent/Guardian/Emergency Contact Name(Required)

First Last

Parent/Guardian/Emergency Contact Phone Number(Required)

Parent/Guardian/Emergency Contact Email(Required)

Current School Status(Required)

Attending high school

Dropped out of high school

Graduated with high school diploma

Obtained GED®

Attending College

Attained a college degree

Not Applicable

High School Name(Required)

Current Grade Level(Required)

Current living arranement(Required)

Living with my parent(s) or guardian(s)

I live on my own

I live on my own but still receive financial support from my parent(s) or guardian(s)

I live in foster care

I lack consistent housing

Other

Number of people in your household including yourself:(Required)

Estimate your annual income (include parent/guardian income if you are still receiving support):(Required)

Under $15,000

$15,000 - $24,999

$25,000 - $34,999

$35,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,999

$150,000 - $199,999

$200,000+

Are you eligible to receive free or reduced-price lunch at school?(Required)

Yes

No

Have you or your family received any of the following in the past 6 months?(Required)

Temporary Assistance for Needy Families (TANF) benefits (Cash Assistance)

Supplemental Security Income (SSI) benefits

Supplemental Nutrition Assistance Program (SNAP) benefits (Bridge Card/Food Stamps)

Pell Grant

None of the Above

Did you work last summer?(Required)

Yes

No

What was your job?(Required)

Current Employment Status(Required)

Employed Full Time

Employed Part-Time

I have been employed in the past, but I'm not currently employed

I have never been employed

Do you have any special skills, certifications, or knowledge?(Required)

Microsoft Office

Certified Nurse Assistant

Bilingual

CPR Certified

Adobe Creative Suite

Other

How do you plan to get to work?(Required)

Bus

Bike

Walk

Car

Ride

I may need transportation assistance

What type of work would you like to do professionally? (select up to three)(Required)

What type of work would you like to do this summer? (select up to three)(Required)

What do you plan to do this Fall?

Return to high school

Return to college

Attend a two-year college

Attend a four-year college

Enroll in a training program

Find a job

I don't know yet

Other

If selected, you will need identification to start work. Please select the type(s) of valid identification you have:(Required)

Certified Birth Certificate

School ID

Driver's License

State Issued ID

County Issued ID

Passport

I need help obtaining an ID

I need help obtaining a Certified Birth Certificate

Other

Is there anything else we need to know to find you a summer job?(Required)

(i.e. disability needs, language barriers, physical accommodations or other concerns)

Do you have other obligations during your Summer Employment? (vacation, summer school, family reunion, sports)?

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