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Summer Youth Application 2025
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Youth
First Name
Last Name
Nickname
Gender
Female
Male
Transgender
Non-binary
Birth Date
Preferred Communication Method(s)
Phone
Email
Postal Mail
SMS
Fax
Preferred Language
Afrikaans
Albanian
Arabic
Bulgarian
Catalan; Valencian
Chinese (China)
Chinese (Taiwan)
Czech
Danish
Dutch (Netherlands)
English (Australia)
English (Canada)
English (United Kingdom)
English (United States)
Estonian
Finnish
French (Canada)
French (France)
German
Greek, Modern
Hebrew (modern)
Hindi
Hungarian
Indonesian
Italian
Japanese
Khmer
Lithuanian
Norwegian Bokmål
Polish
Portuguese (Brazil)
Portuguese (Portugal)
Romanian, Moldavian, Moldovan
Russian
Slovak
Slovene
Spanish; Castilian (Spain)
Spanish; Castilian (Mexico)
Swedish
Telugu
Thai
Turkish
Vietnamese
German (Swiss)
Spanish; Castilian (Puerto Rico)
Dutch (Belgium)
Street Address
City
Zip Code
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone Number
Email
Demographics
Ethnicity
Chican@
Latino
Pacific Islander
Middle Eastern
Unknown
Anglo
Black/African American
Asian
Jewish
Native American
Mixed
Tiwá
Towa
Caucasian/White
Select all that apply
Gender Pronouns
Parent/Guardian
First Name
Last Name
Street Address
City
Postal Code
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone Number
Email
Youth Data
What does social justice mean to you?
What organizing or other types of skills would be beneficial to you?
Why are youth jobs important? How does a job impact your life?
Have you been in a previous SWOP program before? If so, when?
List any clubs, sports, after-school activities, programs, or organizations you are currently or have previously been involved in
Do you have any other summer commitments? If yes, please explain and provide dates of commitments:
Do you have reliable transportation? Please explain:
Is there anything else we should know?