Youth Health Educator Job Application

This is a paid job starting at $7.25/hour, working 4-6 hours/week during school and in the office after school
You get training on sexual health and how to educate others
You do lunchroom presentations at your school every week
You distribute condoms to your peers at your school every week
You have the opportunity to be promoted (with raise) and take on more responsibilities at school

Applicant Information

Full Name *

Grade (Now)

School

Address (include Apt #)

Zip

Ward #

Phone 1 *

Phone 2

Email Address *

Date of birth *

Year

Month

Day

Age *

I am *

Others

Female

Male

Gender_others *

GPA *

I missed more than 15 days of school last year *

Yes

I have had experience with Foster Care: *

Yes, I was previously in Foster Care

Yes, I am currently in Foster Care

If YES, how long have you been in foster care? *

Have you ever participated in SYEP? *

YES

Was this a SYEP position? *

YES

About You

I call myself (check all that apply): *

myself_others *

What would you like to contribute to your community (i.e. school, neighborhood, teen population, etc.)? *

My goal in life is to... *

How do you show respect for others? *

Do you think young people's voices are important? *

I want to be a youth health educator because... *

Do you feel that sexuality education for teens is important? Why/why not? *

What do you want to get out of this job? *

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