Youth application

Application Questions

Age, Income & Geographical Qualifications

To qualify, you must live in one of our supported counties which are currently Marin, San Mateo and Sonoma Counties.
Your income must be below the HUD Fair Market Rent (FMR) Area's income limits for your county (see below).

Permissions - Select the one that applies

By checking this box, I represent that I am over the age of 13 and I consent to the processing of my personal information for this application.

By checking this box, I represent that I am the parent or legal guardian of the applicant and I consent to the processing of the applicant’s personal information for this application.

Household Income - Select One

Marin County (income is below $148,650/year)

San Mateo County (income is below $148,650/year)

Sonoma County (income is below $100,650/year)

Applicant Information

Name

Email Address

Applicant's Date Of Birth

Home Address

City

State/Province

Zip/Postal

Primary Parent/Guardian Contact Information

First

Last

Parent/Guardian Email

Parent/Guardian Phone

Tell us about the Experience details

Experience Title *

Describe the Experience in 50-100 words

Dollar Amount You Are Requesting

Start Date of Experience

What does the requested amount cover?

Why this Experience?

How did you learn about this experience?

Why have you chosen this experience? Why is it important to you?

Why are you a great fit for this experience?

List three things you hope to learn from this experience and how it may impact your life.

Optional Supporting Material

Resume documents or other (max size 10MB)

Maximum file size: 2.1MB

File Types Supported: jpeg, pdf, png, doc, docx, pptx, xlsx

Video Upload (max file size 50MB)

Maximum file size: 2.1MB

Hosting Organization Details

Organization Name

Organization Website Address

Contact Name

Contact Email

Contact Phone

If you are human, leave this field blank.