YouthBuild Application

YAYB High School Equivalency, Job Training and Job Placement in New York City NYC

Youth Action YouthBuild (YAYB) is a youth development program that offers High School Equivalency (HSE) programs designed to help you on the path to self-empowerment.

YAYB students develop the skills required for full-time jobs with a living wage and comprehensive benefits while learning how to exercise community leadership. Eligible young men and women aged 17-24 years spend nine months (Monday through Friday, 8:30 am-3:00 pm):-Participating in classes in construction, worksite training projects, or food preparation/production

Application Form

If you would like to be considered for our programs, fill out the following application form and we’ll get back to you as soon as we can.










All fields marked with ‘*’ are required.

Information

Middle Name:
Preferred Name:
*Birthdate (Use Format – MM/DD/YYYY):
*Gender:
Preferred Gender Pronoun:

Address Information

Apartment:
Are you a NYCHA resident?:
If you are a NYCHA resident, which NYCHA development do you live in?:

Emergency Contact

Emergency Contact Person 1 Full Name:
Contact 1 Relationship to Applicant:
Emergency Phone Number 1:
Emergency Contact Email Address:

Education Information

*Are you currently enrolled in high school?:
*Last School Attended:
*Are you currently enrolled in college or a trade school?:
Highest grade completed?:
*Do you have a High School or GED diploma?:
Number of years out of school?:
Passed regents:
Passed TASC Subjects:

Family Status

*Marital Status:
*Do you have children?:
If so, how many?:
Need access to childcare:
*How many dependents do you have?:

Veteran Status

*Veteran status:
MALES ONLY: Are you registered for the selective service?:
*Do you receive public assistance?:
*What is your current living status?:
*Household Income:

Additional Information

*Are you a US citizen?:
Driver’s licence date of issue:
*Are you registered to vote?:
Ethnicity:
Sexual Orientation:

Committment

*Which vocational training are you interested in?:
*Are you willing to commit to a full-time 9-month program (8:30 am – 3:30 pm)?:
*Are you willing to participate in community service?:
*How did you find out about the YouthBuild program?:
If referral, referral organization:
Referral First Name:
Referral Last Name:
Referral Title/Relation:
Referral Phone Number:
Referral Email Address: