2024 Winter Workforce Programs Form

Student Information

First Name

Last Name

Parent/Guardian Info

First Name

Last Name

Email (Non-school email if possible)

Phone Number

Street Address

City

State/Province

Postal Code

Number in Household including yourself

Working Paper Info

Thank you for providing the information above!

Next step to get involved in our workforce programs is to get your working papers.

How to get working papers at school:

Make sure you have everything you need:
- a valid/current Physical Exam conducted within the last 12 months
- a passport OR a NYS ID, only needed if you have been enrolled for less than 2 years
Go to your school nurse’s office with these materials and tell them you’d like to get your working papers. At PHS, the nurse is Mr. James.
The information gets sent off to be processed and after approximately a week your working papers should be ready.

If you are homeschooled or are out of school and still need working papers, email info@thearteffect.org The Art Effect for more information on how you can acquire working papers.

Do you have your working papers?

School Information

Current School

If out of school, just write N/A

What grade are you in? As of June 1, 2024

Winter Youth Employment

Please choose which workforce program(s) that you are interested in:

2024 Spark Studios December Intensive

2024 MADLab December Intensive

Required Funder Info

One of The Art Effect's funders who helps make hourly wages for this program possible, requires us to collect this information.

Are you a United States citizen?

Birth Date

Select one of the programs your family receives benefits from. If you do not receive benefits from any of them, consult the chart below and instead let us know whether your family meets or falls below the 200% poverty threshold or is above it.

YEP Participation History

Have you participated in DCWIB's youth employment program before?

Year participated?

Organization?

Electronic Signature (Please use your initials)

By signing this, I am saying, that the above information is true to the best of my knowledge.