• Tri county Community Action Agency of Rhode Island
  • Youth Career Center Application

    This is an application for a job-training program - NOT for employment. Some questions are not allowed on an Employment Application.
  • YOUTH INFORMATION

  •  / /
    Pick a Date
  • Race:

  • EDUCATION INFORMATION

  • (If a summer applicant, use current school name and grade for the coming fall)

  • Contact Information

  • APPLICANT ASSURANCES/SIGNATURES

  • The information on this application is true to the best of my knowledge. I realize that any false statement I knowingly made may cause this application to be rejected or may result in my termination from the program. I also understand that I am not guaranteed employment or any other services. I agree that the information on this form, as well as information collected during my participation in the program, may be transmitted to the Rhode Island Governor's Workforce Board (GWB) or other agencies to track short and long-term outcomes as determined by the GWB or its affiliates.

    I agree that the information on this form, as well as information collected during my participation in the program, may be transmitted to the DLT/GWB or other agencies to track short- and long-term outcomes as determined by DLT/GWB or affiliates.

  • Clear
  •  / /
    Pick a Date
  • Clear
  •  / /
    Pick a Date
  • Image
  • This project was funded in whole or in part through funds received from Real Skills for Youth, an initiative of the Governor’s Workforce Board.

  •  
  • Should be Empty: