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Young Adult Program Application 2026
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Young Adult Program Application 2026
If you are
under 18 years old
,
click here
to fill out our youth program application.
Email
This field is for validation purposes and should be left unchanged.
Where did you hear about this opportunity?
*
Please write the name of the person or agency who referred you.
Contact Information
Name (First)
*
Name (Last)
*
Phone Number
*
Alternate Phone Number
Email
*
Enter Email
Confirm Email
Date of Birth
*
Month
Day
Year
Age
*
Gender
*
Male
Female
Other
Decline to state
What area of Oakland do you live or stay in?
*
North
West
Downtown
Central (near YEP)
East
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Tell us more about yourself
Do you have a high school diploma or GED?
*
High School Diploma
GED
Neither
From what school did you receive your diploma?
*
Write “N/A” if you do not have a diploma or GED
Are you attending community college, where and what program?
Write “N/A” if you are not attending community college
Vocational Interests (please check all the apply)
*
Construction
Culinary
Landscaping / Public Works
Warehouse
Other
If other, please list
*
Write “N/A” if you did not select “Other”
Have you ever had a job?
*
Yes
No
If so, where?
*
Write “Never had a job” if you checked “no”
Have you ever participated in any job training program?
*
Yes
No
If so, please list the names of all the programs you've been in
*
Write “N/A” if you checked “no”
When did you participate?
*
Enter months and year. If “no,” write “N/A”
Program Specifications
*Onboarding 1 week = $100 gift card completion bonus *2-week pre-Job Training = $400 completion bonus *Free lunch + free daily bus passes during Job Training *Weekly perfect-attendance bonuses = $25 in addition to completion bonus *After completion of Job Training, enter 10-week internship = up to $700 (gross)/bi-weekly
Are you eligible? (must check at least one box to be eligible)
*
Oakland resident
Currently on adult probation or parole
Currently on juvenile probation
Previously on any probation at any time
Formerly incarcerated in prison, county jail, or juvenile detention
Need a high school diploma
Receiving CalWORKS (cash aid)
Receiving CalFRESH / SNAP (food stamps)
Receiving Medi-Cal (health insurance)
Alameda County AB 12 Young Adult
Current or Former Foster Care Youth
Have an incarcerated parent (currently or formerly)
Homeless or Housing Insecure
How else can we help you? (check all that apply)
*
Need training or more work experience
Need help working with a P.O. or court case
Need help sealing a juvenile record
Need a high school diploma
Need help with housing
Need to work on math or reading skills
Need tutoring for school or test
Have a learning or emotional disability
Need assistance with public transportation
Need help applying for food stamps
Need help studying for a driver’s license
Please check all of the documents that you have:
*
ID or Driver’s License
Social Security Card
High School Transcript or High School Diploma
Court/Probation documents (if applicable)
Note: you will need to bring these documents to start the program. We will help pay for your ID/Birth Certificate and help you get your Social Security Card
Tell us about your right to work in the U.S.
United States Citizen (born in the U.S.)
Citizen or applied for Citizenship
Valid/Current Alien Registration Card
Certification
By submitting this application, I certify that all of the above information is true and correct to the best of my knowledge.
Agree
*
Today's Date
*
MM slash DD slash YYYY
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