YOUTH PROGRAM INTEREST FORM

Ready to get involved in a SEMCA Michigan Works! Youth Program? Fill out the form below to get started.

Interested in a $500 Bonus?

Complete the form below and find out how you can start earning nearly $7,000 over 12 weeks. Take the first step and find out if you are eligible.

SEMCA’s Youth Programs are for teens and young adults ages 14-24 who reside in Monroe and Wayne Counties. Detroit residents should visit Grow Detroit’s Young Talent to learn about available youth opportunities.

CONTACT INFORMATION
First Name*
Last Name*
Currently age 14-24?*
Address*
City*
ZIP Code*
County*
Email Address*
Cell Phone Number*
Can we send you text messages?*
SCHOOL AND QUALIFICATION INFORMATION
Education Status*
Name of School*
Last Grade Completed:*
Do any of the qualifications below apply to you?*
- English is a second language
- Free or reduced lunch
- Current / prior foster child
- Single parent / pregnant or parenting
- Disability
- Offender
- Runaway youth
- Homeless
- Family receives cash assistance from Department of Health and Human Services
- Family receives food stamps or has a Bridge card
ABOUT ME
Program of Interest*
- Career Information
- College or Credential Information
- Employment
- Financial Aid / Scholarships / Grants
- Summer Employment
- Training
- Other
Do you have access to the internet at home?*
Which SEMCA Michigan Works! location would you prefer to work with?*
For more information on locations, click here (opens in a new tab).
Detroit residents should visit
Grow Detroit’s Young Talent (www.gdyt.org)
to learn about available youth opportunities.
Call 800-285-9675 or visit www.michiganworks.org/michigan-works-network to find the nearest Michigan Works! American Job Center that provides youth programs for you.
Phone
This field is for validation purposes and should be left unchanged.

YOUTH PROGRAM INTEREST FORM

Interested in a $500 Bonus?

CONTACT INFORMATION

SCHOOL AND QUALIFICATION INFORMATION

ABOUT ME

OUR STANDARD IS EQUALITY

Grievance Policy

Privacy Policy

Substance use Disorder

Southeast Michigan Community Alliance (SEMCA)