ATTN: Southwestern Connecticut Youth Welcome to the first step of the 2012 Earn and Learn Summer Youth Employment Program application process. Please fill out this online application to be considered for a paid internship opportunity this summer. Eligible applicants will be invited to an interview with WorkPlace staff where all copies of required documents will be collected. All required documents must be presented at time of eligibility appointment (See Eligibility list on next page). Applications will not be available or accepted at YouthWorks or The WorkPlace. ONLY ONLINE APPLICATIONS WILL BE ACCEPTED. To be eligible for the program you must: 1) be between 14 & 21 years old as of July 1, 2012; and 2) be a resident of our 20 towns; (See 20 Towns list on next page) and 3) be a U.S. citizen or a non-citizen authorized to work in the United States; and 4) be either in school at the time you apply and be eligible for free or reduced lunch or if not in school be a member of a family receiving: a) TANF, including foodstamps or b) be a foster child with a DCF worker or c) you must meet the household income eligibility guidelines. (See Federal Poverty Guidelines on next page) For the best chance of being selected for an interview, please answer all of the questions included in this application. Enter your contact information correctly, including your home phone, cell phone, e-mail address and a reliable alternate contact. Don't miss out on this opportunity because we were unable to reach you. The information in this form is being collected through a secure, encrypted website and will be used only for the 2012 Earn & Learn Summer Youth Employment Program. The information will be shared only with The WorkPlace and the CT Department of Labor.