2022 Summer Youth Employment Application

****Carroll County Residents ages 16-18****

Program runs
July 7, 2022 – August 17, 2022

Application deadline
May 27, 2022

APPLICANT INFORMATION

Name(Required)
Mailing Address(Required)
MM slash DD slash YYYY
Cell?(Required)
Do you have transportation?(Required)
Do you have a Social Security Card?(Required)
Are you a Maryland resident?(Required)
T-Shirt Size(Required)
Parent/Guardian Name

ELIGIBILITY

Check all that apply(Required)

PARENT/GUARDIAN & YOUTH CERTIFICATION

(signatures will be obtained in person)
MM slash DD slash YYYY
Certify(Required)
X