YOUTH TRAINING AND EMPLOYMENT PROGRAM 2006 OUR

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YOUTH TRAINING AND EMPLOYMENT PROGRAM
2006
OUR GOALS:


TO CONNECT YOUNG PEOPLE TO THE LAND AND TO THE FOOD
WE EAT
TO PROVIDE MEANINGFUL WORK EXPERIENCE FOR COMMITTED
YOUTH


TO CONNECT YOUNG PEOPLE TO COMMUNITY THROUGH
SERVICE
TO DEVELOP A COMMUNITY OF YOUNG PEOPLE DEDICATED TO
CARING FOR THE EARTH AND GROWING HEALTHY FOOD FOR
OUR COMMUNITIES
WHO CAN APPLY?
14-17 YEAR OLD YOUTH
AVAILABLE 20 HOURS/WEEK
JUNE -AUGUST
TO APPLY FILL OUT AND RETURN
AFTER WE RECEIVE YOUR APPLICATION AND LETTER OF REFERENCE, WE WILL INTERVIEW ON THE
FARM SO THAT YOU MEET US AND WE MEET YOU.
FULL NAME:
______________________________________________
LAST
HOME ADDRESS:
FIRST
MIDDLE INITIAL
___________________________________________
CITY: ___________________________________________STATE: ______________ZIP: ____________
HOME PHONE:
__________________CELL: _______________
SEX: FEMALE___ MALE___ DATE OF BIRTH
____________________
MONTH/DATE/YEAR
PARENT/GUARDIAN NAME:___________________________________
PARENT/GUARDIAN WORK TELEPHONE:_________________________
THIS PERSON IS MY LEGAL GUARDIAN __ MOTHER __ FATHER__ RELATIVE:______________________
OTHER PARENT /GUARDIAN NAME:_____________________________
TELEPHONE:________________________
THIS PERSON IS MY LEGAL GUARDIAN __ MOTHER __ FATHER__ RELATIVE:______________________
CURRENT SCHOOL:__________________________________________
SCHOOL TELEPHONE:________________________________________
CURRENT GRADE LEVEL: ___________
NAME OF A TEACHER WHO KNOWS YOU WELL: ___________________
NAME OF A PERSON WHO WILL BE A REFERENCE: ________________
REFERENCE PERSON’S PHONE NUMBER:
_________________________
THIS PERSON IS MY TEACHER___ COACH ___ EMPLOYER ___ OTHER___
MAIL THIS APPLICATION TO :
GROW PITTSBURGH YOUTH PROGRAM
EMILY SCHEINES
ALLEGHENY COUNTY COOPERATIVE EXTENSION
400 NORTH LEXINGTON STREET
PITTSBURGH, PA 15208-2561
FOR MORE INFORMATION CONTACT EMILY SCHEINES, 412.473.2542
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