Café Momentum Intern Application

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This application is designed to collect information to determine if you are eligible to participate in Café Momentum internship.

In order to receive an invitation to the next orientation all youth must meet be:

15 to 19 years old
Currently involved or has been impacted by the juvenile justice system within the last 12 months.

Tentative 2024 Intern Orientation Dates

Email *

First Name *

Last Name *

Telephone Number (if you do not have a working phone, enter N/A) *

How old are you? *

When is your birthday ? *

YYYY

Provide your zip code
*

Will you need transportation assistance to get back-and-forth to Cafe Momentum? *

Yes

Parent/Guardian Name & Telephone Number *

Parent/Guardian email address *

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