Project Hope CA - WAGEES Referral Form
The WAGEES (Work and Gain Education and Employment Skills) Program prepares justice-involved youth and young adults for employment through education, training, paid work experiences, mentoring, and leadership development.

A Project Hope CA staff member will contact you within 1-2 business days after this form is submitted to discuss eligibility and next steps for enrollment, if applicable. We look forward to speaking with you soon!

For questions, please contact us at:
Email: info@projecthopeca.org
Phone: (909) 846-8362
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Email Address
 *
Applicant's Full Name (First, Middle, Last)
 *
Date of Birth
 *
MM
/
DD
/
YYYY
Current Age
 *
Example: 21
Race/Ethnicity (Check all that apply)
 *
Required
Gender
 *
Pronoun(s)
 *
Primary Language
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Phone Number
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Street Address
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City
 *
Zip Code
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Applicants must be between the ages of 18-24 and meet 1 or more of the following (Select ALL that apply)
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Required
Additional Criteria - Applicants must meet 1 or more of the following (Select ALL that apply)
 *
Required
Optional: Please provide any details that will help our team get to know you better and understand how we can support you.
How did you hear about us?
 *
Please answer the following questions ONLY if this referral is being made on behalf of someone else (not a self-referral)
Referral Made By
Relationship to the person being referred
Clear selection
Phone Number
Email
Thank you. We look forward to contacting you soon!
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