● Important Instructions You MUST Read ●
● You can only apply ONE time. ●
● Please complete all fields as accurately as possible. All statements made on the application will be reviewed and verified. False or misleading information may result in your application being rejected. It is your responsibility to enter the CORRECT Mailing and Email Address to receive the eligibility forms. Any changes to any phone number, address or emails please contact the summer youth employment program immediately.
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● CareerSource Broward Summer Program (CSBD) Staff may communicate with the youth or parent via email, phone, and virtually. Please agree to provide correct contact information so that CSBD communications will be received.
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● Eligibility is limited to Broward County youth who are 16 to 18 on the day the program begins June 09, 2025. All selected youth must be eligible to work in the United States, have a valid government picture ID, valid Social Security Card, Birth Certificate, provide proof of Household income, and proof of address. (Copies of Identifications will NOT be accepted). We may ask for additional eligibility documents. All selected youth must be able to participate for the entire program June 9th to August 5th, 2025.
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● OUR SLOTS ARE LIMITED. If a youth is selected to participate in the program, CSBD will mail or email you the eligibility forms to complete. CSBD is not responsible for any documents not received in time.
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● Eligibility Interview- The youth WILL NOT be allowed to complete the eligibility process without the required documents listed above. The youth are also required to personally appear with their Parent or Legal Guardian if the youth is under 18 years old.
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Parent or Guardian's Contact Information
Parent or Guardian's Name:
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Telephone Number:
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Digits only. Example: 9542023830
Cell Phone:
Email Address:
Demographic Information
School Identification Number (Student ID#):
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School Name?
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What is your Grade point average in High School?
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In August 2025, in what grade will you be?
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Home Arrangement:
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Household Income:
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Race:
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Ethnicity:
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Country of Birth:
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Language Spoken at Home:
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Cultural Influence:
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Work Experience Information
Worksite assignment preference (City):
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How do you plan to get to your worksite?
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List any languages, other than English, that you speak:
What type of work experience would you prefer (1st Choice)?
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What type of work experience would you prefer (2nd Choice)?
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This will help us to match you to available jobs closely related to your preference.
Please note there is no guarantee you will be placed in the exact preference you selected.
Select all that apply to you. Doing so will help us to match you to work experience suitable to your unique needs and background.
(We will ask for verification)
Please: Click the Submit button only ONCE.
Make sure all your information is correct BEFORE you click Submit.
All information on this form is correct and accurate:
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Submission of this Application does NOT guarantee that you will be contacted or offered a job.
● If the "Submit" button is not active or greyed out be sure you read the instructions at the top of the page! Ensure all checkboxes are checked. ●
You will receive the ELIGIBILITY DOCUMENTS by mail or email if you have been SELECTED to participate in the program.
If your information changes at any time, please call (954) 202-3830.
Please check our website at
careersourcebroward.com/youth-services/syep/SYEP for current information.
Please DO NOT CALL to check if you were selected!!