Summer Youth Career Readiness Work Experience Program

Summer Youth Career Readiness Program Application

If you are accepted into this program, you will be emailed directly by West Michigan Works! to the email address you provide. Please make sure your contact information is correct.
Personal Information
Full name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*

AlleganBarryIoniaKentMontcalmMuskegonOttawa
Your phone number*
Please enter a valid phone number.
Parent/Guardian phone number*
Please enter a valid phone number.
Your email*
example@example.com
Parent/Guardian email*
example@example.com
Date of birth*

MonthDayYear
Date
Race
Gender
Age*
Will you be enrolled in school/training as of June 24, 2025?*

YesNo
Personal Information cont.

This program requires computer equipment & access, though your responses will NOT affect your eligibility.
Please select all that apply*

I am currently homelessI am (or have been) involved with the criminal justice systemI am (or have been) a foster youthI am a parent or currently pregnantNone of the above
Do you have access to reliable transportation?*

YesNo
Do you require any work-related accommodations?*

YesNo
Do you have access to computer equipment on a regular basis?*

YesNo
Do you have access to a webcam and a microphone?*

YesNo
Do you have internet connection on a regular basis?*

YesNo
Are you currently employed?*

YesNo
Are you currently enrolled in a program with West Michigan Works!?*

YesNo
Which high-demand industry/industries would you be interested in exploring?*

AgribusinessConstructionITHealthcareManufacturingOther
Please list any other industries you would be interested in exploring
Are you a U.S. citizen?*

YesNo
Number of persons in your family (including you)*
Please list your family's yearly income*
Would you like to receive text notifications regarding this program?*

YesNo
Phone number you'd like to receive text notifications
Please enter a valid phone number.
Youth must be 16 - 24 years old as of June 1, 2025 to be program eligible.
Are you a resident of the City of Muskegon or Muskegon Heights?*

YesNo
Please complete this section only if you meet the age requirement & live OUTSIDE OF the City of Muskegon or Muskegon Heights.
Please select all that apply:*

You receive free or reduced lunch at schoolYou are a foster youth or aged out of a foster youth programYour family is eligible for public assistance: food or cash assistance (EBT or Bridgecard) or Supplemental Security Income (SSI)You received special education classes while in school (IEP) or have any disabilityYou have math or reading levels below grade levelYou are studying English since it’s not your first languageYou have been involved with the juvenile or adult justice systemYou or your family are homelessYou are a parent or pregnantNone of the above
Please select all that apply:*

High school graduate or completed GEDHigh school drop outCurrently enrolled in GED programCurrently enrolled in high school or an alternative schoolOther: You currently are enrolled in a West Michigan Works Youth Program or JMG Program
Uploading any one of the following files is optional, however it will make for a quicker application process:
- State issued driver's license or ID
- Federal issued ID card
- School ID with photo
As well as an image of one of these documents:
- U.S. Social Security card
- Certification of report of birth issued by the Department of State
- Original or certified copy of birth certificate
Cancelof
Should be Empty:

Summer Youth Career Readiness Program Application

Personal Information

Personal Information cont.

Youth must be 16 - 24 years old as of June 1, 2025 to be program eligible.

Please complete this section only if you meet the age requirement & live OUTSIDE OF the City of Muskegon or Muskegon Heights.