STOP Summer Youth Application

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Youth Summer Job Application

Email *

Date of Birth: *

YYYY

Any Medical Issues:

Address: *

Address:

Emergency Contact 1 Name: *

Name: *

Zip Code: *

Date of Application *

YYYY

Phone Number:

Pronoun

Which School Do you Attend: *

Emergency Contact 2 Name:

Phone Number: *

Address: *

Summer Job Questionnaire

Answer each question with thought and consideration that we will be spending SIX WEEKS together. STOP would like for this summer to be as comfortable and productive as possible.

The Summer Program is about community organizing and building the movement for social justice. We bring people together to fight for a positive change for their community. What do you hope to get out of this program? *

In the coming year which campaigns do you want to work on? (check all that apply) *

Stop Displacement Around Obama Center and Fight for Jobs for Community

Cops Out of CPS (remove police from Hyde Park and CPS and reinvest resources into alternatives to keep us safe)

Other:

Required

What most encouraged you to work with STOP Youth program? *

If you said I might have an issue to the question above, please explain:

The Summer Program will be on the afternoon Tuesday, Thursday, and Friday, for 4.5hrs per day, for six weeks starting July 6th. Pay will be $75 for each fully completed day, or up to $225 per week/$1350 total. Will you be able to fully participate in the entire program? *

Yes

I might have an issue

Other:

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