Career Connections Program Application

Career Connections Program Application

**Spring 2025 cohort begins March 19, 2025 and ends August 27, 2025. The priority deadline for applications is February 28, 2025.**
Thank you for your interest in the Career Connections Program for San Francisco youth ages 15-25! Please complete this ENTIRE application. If you have questions or concerns about the application, you may contact the Hire-Ability office phone at: (415) 282-9675.

WHAT WILL I GET?
- Paid work training and work experience: a stipend award at the end of the three-month training period and hourly stipends during the internship equal to the San Francisco minimum wage.
- Career guidance and support that matters to YOU!
- Peer and adult staff members to help with college & employment placement and support.
- Chances to explore new careers through job shadowing, internships, and networking.
WHAT ARE THE REQUIREMENTS?

In order to participate in the program, you must meet ALL of these requirements:
- Be a resident of San Franciso
- Be between the ages of 15 and 25
- Currently receiving services through SFDPH Behavioral Health Services (SFDPH-BHS)
- Availabe for a total of 6-14 hours per week including time spent at program workshops, time spent at worksite, and time spent in one-on-one meetings with program staff
- Available to attend mandatory weekly workshops from 4-6pm twice a week
- Ability to travel within the city of San Francisco
- Must be able to provide documentation you are legally eligible to work in the United States in order to receive payment for participation in the program
Name

First NameLast Name
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Preferred Pronouns (he/him, she/her, they/them, other)
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the best way to contact you?

CellHome PhoneEmailOther
Who can we contact if we cannot reach you (name)?

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Program Requirements (click on circle to select one)
Are you currently a San Francisco resident?

YesNo
Are you currently receiving services through BHS? If not, please call (415) 503-4730 for linkage to services.

YesNoNot sure
Are you able and willing to commit to the nine-month long program?

YesNo
Are you available to attend weekly workshops from 4-6pm on weekday afternoons, attend field trips in San Francisco, and work 6-18 hours per week?

YesNo
References

Please provide two references. One reference may be the therapist/counselor who referred you to this program. The other should be an adult who is NOT a family member--such as a teacher, school counselor, or coach.
Reference #1 (Name)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to You
Email
example@example.com
Reference #2 (Name)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to You
Email
example@example.com
Signature

Please read each paragraph and then sign below.
I certify that I have not purposely withheld any information that might negatively affect my chances for acceptance. The answers given by me are true & correct to the best of my knowledge and ability.

I permit RAMS to contact the references I provided regarding the TAY Vocational Services program. I authorize the references I have listed to provide any information about my related experiences, without giving me prior notice of such disclosure.
Applicant's Signature

Clear
Today's Date

MonthDayYear
Date
Signature of Applicant's Legal Parent/Guardian (if under 18)

Clear
Today's Date

MonthDayYear
Date
Please note: A separate parent/guardian consent form must be signed for a minor youth to participate in the TAY Vocational Program.
Motivation Questions

In the space below, please type your answers to these four questions. Your answers don't need to be long, but they should be thoughtful!
1) What are some areas you would like to grow in or need help with? What would you like to gain by participating in this program? (For example: learning how to interview for a job, managing my time, motivating myself, etc.)
2) What are your hobbies or interests?
3) Have you ever worked or volunteered before and where (please list):
4) If you could have one super power, what would it be and why?
Are you currently participating in any other programs, sports, or extra-curricular activities?

YesNo
If yes, what is the name of the organization or program that you are participating in?
When will it end?

MonthDayYear
Date
Completed Application Check List

Please include ALL of the following with your application:

1) Completed application form.

2) Copy of proof of San Francisco residency (driver's license, CA state ID, SFUSD school student ID, birth certification, or social security card)

3) Completed short answer questions.

4) Parental or guardian consent for applicants under the age of 18.

Please scan and send your completed application materials to careerconnections@hire-ability.org or send your completed application by fax, US mail, or in person to:

Hire-Ability Vocational Services

1234 Indiana Street

San Francisco, CA 94107

ATTN: Steven Taka, TAY Program Manager

Fax: (415) 920-6877

Questions? Please call Peter Su at (415) 530-9080 or send an email to petersu@hire-ability.org

The Career Connections Program is offered by Hire-Ability Vocational Services, which is a division of Richmond Area Multi-Services, Inc. (RAMS), with funding from SFDPH-BHS-MHSA.
Should be Empty:

Career Connections Program Application

Program Requirements (click on circle to select one)

References

Signature

Motivation Questions