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Pathways to the Workforce - Interest Application
WINTER 2024
Please complete this form if you are interested in completing a 8-week afterschool internship.
Program will begin January 2024.
This form only expresses interest and does not guarantee a placement.
* Indicates required question
Who is completing this form?
*
Choose
Student
Parent/Guardian
Other
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Number
*
Your answer
Student's cell phone number
*
Your answer
Email (that you check frequently)
*
Your answer
Gender
*
Choose
Male
Female
Transgender
Other
I Prefer Not to Identify
Ethnicity
*
Choose
Hispanic / Latinx
Asian
American Indian / Alaska Native
Black / African American
Native Hawaiian / Other Pacific Islander
Middle Eastern / North African
White
Do you have any allergies, disabilities, medical issues, or take any medication?
*
Your answer
School in Fall
*
Choose
Wayne Memorial High School
John Glenn High School
Wayne-Westland Innovative Academy
Student's age
*
Choose
15
16
17
18
Student's grade
*
Choose
10
11
12
Next
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