Milford Youth Center Job Application

Thank you for your interest!

What position are you interested in? *

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address *

Education History

Are you a High School graduate? *

Yes

No

Please Select Highest Level of Education: *

High School Name & Location

High School Years Attended & Expected Year of Graduation

College Name & Location

College Years Attended & Expected Year of Graduation

Major Area of Study at College

Other Education/ Relevant Experience

Availability

Which seasons are you available to work? (If you have after school sports or obligations, you will still be considered for employment) *

Summer

Fall

Winter

Spring

Days Available *

YouthWorks

YouthWorks is a state-funded youth employment program that helps teens and young adults get the skills and experience needed to find and keep jobs. Participants take part in paid short-term work placements at public, private, and non-profit worksites. The program serves income-eligible youth aged 14 to 21 living in targeted cities across the Commonwealth. The program is offered through the Commonwealth of Massachusetts, Executive Office of Labor and Workforce Development and administered statewide by the Commonwealth Corporation.

We have the opportunity to employ youth at our location (The Milford Youth Center) during the full year program and mutliple others sites during the summer program that fit eligibility guidelines. All work locations must comply with Massachusetts Mandatory safety Guidelines, comply with Reopening Massachusetts Efforts and General Business Guidance, and provide adequate supervision and sufficient and meaningful work. The Youth Center has also received an administrative budget to have staff oversee the program and be the liaison between the youth and the department that they will be working for, along with making sure the youth are also completing some work readiness training along the way.

This program does have requirements and risk factors the youth must meet to be eligible. Eligibility is based on by not limited to the following circumstances: low income/ income elibgible household, court-involved youth, Foster Care Services (DYS) involved, individual aged out of faster care, homelesness or being a runaway, children requiring assistance.

Do you believe that you meet at least one of the circumstances listed above to qualify for this program? (Please note that this is not a mandatory question, and that you may skip if you do not want to release this information to the Milford Youth Center)

Yes

No

Employment History (Please Begin with Most Recent)

Employer 1

Company Name

Address

Phone

Start Date +

End Date +

Position

Supervisor/Manager

May we contact? *

Yes

No

Phone Number

Employer 2

Company Name

Address

Phone

Start Date +

End Date +

Position

Supervisor/Manager

May we contact? *

Yes

No

Phone Number

Employer 3

Company Name

Address

Phone

Start Date +

End Date +

Position

Supervisor/Manager

May we contact? *

Yes

No

Phone Number

References (three persons NOT related to you who you know personally)

Reference 1

Name

Title

Email Address

Phone

Reference 2

Name

Title

Email Address

Phone

Reference 3

Name

Title

Email Address

Phone

Additional Skills & Resume

List any additional skills/licenses/special training that you possess

Please submit a copy of your resume. (If you do not have an official resume please submit a document with any work experience, trainings and/or certifications!) *

AAP/EEO Statement

The Town of Milford is committed to a firm policy in favor of equal employment opportunity and will abide by all applicable state and federal regulations by not discriminating against any applicant or employee on the basis of race, religion, color, creed, sex, age, national origin, citizenship status, marital status, sexual orientation, gender identity and expression, disability or veteran status. Our commitment to equal employment opportunities shall include employment, upgrading, promotion, demotion, transfer, leaves or other absences from work, layoff, compensation and benefits, selection for training or other education, professional opportunities, and conflict resolution.

It is also the policy of the Town of Milford to take affirmative action to employ and to advance in employment, all persons regardless of their status as women, minorities or individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.

Please inform us of any necessary accommodations required during the application process and/or at any time during employment.

Please list any accommodations required

Please indicate emergency contact information below

	Name	Telephone #	Relation
Emergency Contact 1	Name	Telephone #	Relation
Emergency Contact 2	Name	Telephone #	Relation

To determine my qualifications, I authorize the Milford Youth Center to conduct any investigation of my application. I understand that any false or misleading information furnished by me on this application or in conjunction with my application for employment, may result in rejection of the application, or, if employed by this organization, in the termination of my employment *

clear

Date * +