Youth 2 Youth: TAY Peer Certificate & Employment Program Application

Youth 2 Youth: TAY Peer Certificate & Employment Program Application

**Email your application to youth2youth@hire-ability.org**
Thank you for your interest in Youth 2 Youth: TAY Peer Certificate & Employment program! Youth 2 Youth TAY Peer Certificate is a competitive 16-week program that prepares Transitional Age Youth (TAY) with basic counseling skills for entry-level employment in the behavioral health field. Please read and complete the entire application. If you have any questions, please contact Peter Su, Program Coordinator, at petersu@hire-ability.org or (415) 530-9080.

The program meets Tuesdays and Fridays from 3:00-6:00 PM.

Program starts August 25, 2026 and ends December 11, 2026

Please submit your application no later than

July 31, 2026 (Priority Deadline).

Application Requirements: In order to participate, you must meet these requirements:
- Be between the ages of *18-24 (17-year-olds are also eligible if turning 18 by graduation from this program)
- Be a resident of San Francisco
- Are interested in helping others in a behavioral health setting
- Be able to commit to a 16-week program that meets twice a week
Program Perks: What will YOU get out of this program?
- Chance to earn a certificate for entry-level employment in the mental health field.
- Receive a stipend ($$) upon successful graduation from the Certificate Program.
- Chance to explore the behavioral health field in San Francisco.
- Employment Program immediately following successful certification that will help you find an internship as a peer counselor.
- Gain connections in the field to people who have similar interests and passions.
Name

First NameLast Name
Email
example@example.com
Date of Birth

MonthDayYear
Date
Preferred Pronouns (he/him, she/her, they/them, other)
Social Security Number
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Street Address

Street Address

Street Address Line 2

CityState / Province

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

EmailCellPhoneOther
How did you hear about us?
Please list all of the languages (other than English) you speak well enough to potentially provide services in:
Program Requirements

In order to participate, you MUST meet these requirements.
Are you currently a San Francisco resident?

YesNo
Are you able and willing to commit to the 16-week long program?

YesNo
Are you available to attend twice weekly virtual and in person workshops for 2-3 hours between 3-6pm on Tuesdays and Fridays?

YesNo
Have you or a family member ever had lived experiences with mental health challenges (e.g. talking to a counselor/therapist, etc.)?

YesNo
References

You must have two references. One reference may be a therapist/counselor. 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
Reference #1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference #1 Email
example@example.com
Relationship to Reference #1
Reference #2 Name

First NameLast Name
Reference #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2 Email
example@example.com
Relationship to Reference #2
Getting to Know You Questions
1) What inspired you to apply for this program? What do you hope to gain by participating in this program?
2) If you could learn more about a particular topic in the mental health field, what would it be? Why?
3) What are your hobbies and interests? Do you participate in any extracurricular activities or volunteer work?
4) What do you do when you are feeling stressed? What are some of your favorite self-care activities?
5) What does wellness and recovery mean to you? How have you been able to work through and take care of yourself throughout difficult life experiences?
6) What is an area of growth that you would like to improve in? (e.g. "I want to get better at public speaking" or "I would like to practice my interview skills")
7) Are there any other life commitments you're engaged in (e.g. work, school, etc.)?
Application Checklist

Please make sure that each component of this application is complete before it is turned in. Your application will be considered incomplete if you are missing the following:
- Contact information, full SSN, and other information required in the first section of the application
- Acknowledgement of meeting the program requirements
- "Getting to Know You" questions
- Two references
- Proof of residency (copy of drivers license or California State ID preferred)
**Your proof of residency must include your San Francisco address listed. Please send your proof of residency along with your application to youth2youth@hire-ability.org. If your proof of residency does not list a San Francisco address, please attach a form (a bill, a letter from your service provider, etc.) displaying your name and address.
Signature

Please read each paragraph 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 abd correct to the best of my knowledge and ability.

I permit RAMS to contact the references I have provided regarding the Youth2Youth TAY Peer Certificate 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 Signature

Clear
Date

MonthDayYear
Date
I give permission for my child to participate in Youth 2 Youth.
Parent/Guardian Name

First NameLast Name
Please submit your application no later than July 31, 2026 (Priority Deadline).

Hire-Ability Youth 2 Youth

1234 Indiana St. San Francisco, CA 94107

Email: youth2youth@hire-ability.org

Fax 415-920-6877
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Youth 2 Youth: TAY Peer Certificate & Employment Program Application

Program Requirements

References

Getting to Know You Questions