Refer a Youth to BIRDS@Work - Programs 3 2

BIRDS@Work Referral

For teachers, mentors, case workers, or community members who want to refer a young person to the program.

Your Full Name

First Name

Last Name

Your Role/Connection to Youth

Teacher, School Counselor, Probation Officer, Mentor, Family Member, Other — please specify

Your Organization/School (if applicable)

Your Email Address

Your Phone Number

(optional, helpful for follow-up)

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Information About the Youth you are Referring

First Name of Youth

If comfortable sharing, or write “confidential” if privacy is needed

Youths Approximate Age

School Attended or Recent School Attended

e.g., Ponderosa High School, JDCTS, Summit High School, None

Briefly share why you think this youth would benefit from BIRDS@Work (Optional but helpful)

Examples: interest in gardening, seeking job skills, looking for positive mentorship, facing challenges like housing insecurity, justice system involvement, etc.

Contact

Best Way for Us to Connect About This Referral?

Email

Phone Call

Text

Other

Please specify the best way for us to contact you or your referred youth if the above options are not best.

BIRDS@WORK

BIRDS@Work Youth Application - Filled Out By Youth - Programs 3 2

BIRDS@Work Application

For youth ages 15–22 who want to apply for a paid position through the BIRDS@Work program.

Your Full Name

First Name

Last Name

Your Email Address

Your Age

Must be 15 - 22

School You Attend (or recently attended)

Do you have a phone number or email we can use to contact you?

(Fill in preferred contact info)

Why are you interested in working with BIRDS@Work?

This is not a cover letter - you may upload a cover letter and resume below

Have you had a job before?

If yes, where have you worked?

(Optional)

Anything else you want us to know about you?