Youth Development Program Application

 

2019 Youth Development Program Application

  • ALL APPLICANTS MUST HAVE A MINIMUM OF A 2.50 GPA AND HAVE COMPLETED 9th GRADE OR ABOVE IN ORDER TO APPLY
  • Date Format: DD slash MM slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please select one answer for the following (2) questions:
  • (If not in high school please STOP. Do not complete this application)
  • (If yes, please continue the application)
  • The following information will help us determine eligibility for the POC Summer Youth Training and Employment Program
  • (Background Checks Mandatory)
  • (Proof of income must be provided)
  • Release of Information
    I hereby authorize representatives of the POC Youth Development Program to obtain information concerning my household member’s income, ID and Security numbers for the purposes of determining eligibility. (ALL INFORMATION WILL REMAIN CONFIDENTIAL)
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Completion of this application does not guarantee a position. Incomplete application will be discarded.
    If you have any questions, please call (727) 823-4101 ext. 115 or ext. 110
    APPLICATION DEADLINE: May 10, 2020
    SUMMER PROGRAM DATES: JUNE 8 - JULY 24,2020

    RETURN THIS FORM, MOST RECENT REPORT CARD AND INCOME DOCUMENTATION TO:
    Pinellas Opportunity Council, Inc.
    501 1st Avenue North, Suite 517
    St. Petersburg, FL 33701

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