Thank you for your interest in the Mayor Marion S. Barry's Summer Youth Employment Program. To apply, please complete the application below. Once this application is submitted, you will receive information about the next steps in the process. You will not be fully registered for the program until you have completed all of the required steps.

IMPORTANT NOTES
This form requires an email address. This email account will be the primary way we communicate with you. If you do not have a personal email address, please visit one of the following links below to get a free email address before registering.
You may select one of these providers to sign-up for a free email address:
Sign-Up for a free GMail Account. Sign-Up for a free Yahoo Mail Account. Sign-Up for a free AOL Mail Account.


A social security number will be required to participate in the Mayor Marion S. Barry's Summer Youth Employment Program. If you do not have a Social Security Number, please call the Office of Youth Programs at 202.698.3492.

This application may require up to 15 minutes to complete. Please review the application below and gather all required information before getting started.

* = Required     
1. Please provide an Email Address and Password (password should be at least 6 characters).
You will need an email address to receive information from us and to log back in to this site.
*Email Address*Confirm Email
*Password*Confirm Password
2. Please tell us about yourself.
*Legal First NameMaiden Name
Middle Name*Birth Date
//
*Legal Last Name*Gender
Suffix (Jr., Sr., III)
*Social Security No. (SSN)
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*Confirm SSN No.
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Race*Language
*Current Educational Status*Educational-Student Type
*Current Grade or Last Grade Completed
*Current School or Last School Attended
What is your preferred t-shirt size?
3. Please provide your permanent address and contact information.
*Address
Apt. No. / Suite*City
*State*Zip/Postal Code
*Home Phone
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Cell Phone
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Twitter Username @
*May we contact you through text message?
By selecting yes you agree that you are responsible for any text message rates through your mobile carrier
*Do you have a home computer?
*Do you have access to the internet in your home?
*What type of internet connection do you have at home?
4. Please tell us who your contacts are.
Emergency
*First Name*Last Name
*Phone Number
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*Relationship
Parent / Guardian
First NameLast Name
Phone Number
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Relationship
5. Please tell us about your career interest.
Please complete this section carefully. The Office of Youth Programs will use this information to help determine your placement this summer and employers will see it when they review your profile. While we will attempt to place you in a position within your career interests, we cannot guarantee placement based on your selections.
* Please select which type of summer job assignment you would prefer:

Please select your top three (3) career interests:
*First Choice
*Second Choice
*Third Choice
Please select categories below that best describe the kind of work you would like to do this summer:
*Work Kind 1
Work Kind 2
Work Kind 3
*What are your long-term career goals?
*What are your plans for the future immediately after SYEP is over?
6. Supplemental Information.
These questions are asked so that we may better serve you and identify whether you are eligible for additional programs offered by the DOES Office of Youth Programs. Any information you choose to provide in this section will be kept strictly confidential.

6a. Special Accommodations/Medical Information
These questions are designed to ensure that individuals with disabilities and medical conditions have access to all of our programs, services, and activities and are provided with effective communication, consistent with the requirements of Title II of the Americans with Disabilities Act.
*Do you require any special accommodations?(medical documentation required)
*Do you have a medical condition that would prohibit your ability to work outside?(medical documentation required)
6b. Demographic Information
Offender/Court InvolvedFoster CareParent
Served In MilitaryHomelessLive On My Own
6c. Public Assistance:
If so, please check all that apply:TANFFood StampsSSIOther Assistance
6d. Income/Family Size:
What is your total family income (gross) for the last six months?
What is the number of family members currently living in your household?
6d. Selective Service:
If you are a male 18 years of age or older, please check here if you have registered for the Selective Service.
You will be able to upload a resume at any time by logging into the SYEP Youth Portal. If you need assistance creating a resume, please contact OYP at 202.698.3492.
7. Certificate of Accuracy *

By checking the box below, I certify that all information provided in this form is true and correct. I confirm that the email address used is soley owned by the applicant.
I understand that this information is subject to verification. I further understand that providing any false information may result in my removal from a DOES Office of Youth Programs program and may subject me to civil and/or criminal prosecution as applicable.

   I have read the above statement and would like to submit my application to Mayor Marion S. Barry's Summer Youth Employment Program



DOES is Equal Opportunity Employer/Provider

Language interpretation services are available without cost.

Auxiliary aids and services are available upon request for individuals with disabilities.

Notice of Non-Discrimination
In accordance with the D.C. Human Rights Act of 1977, as amended, D.C. Official Code Section 2-1401.01 et seq.,(Act) the District of Columbia does not discriminate on the basis of race, color, religion, national origin, sex, age, marital status, personal appearance, sexual orientation, gender identity or expression, familial status, family responsibilities, matriculation, political affiliation, genetic information, disability, source of income, or place of residence or business. Sexual harassment is a form of sex discrimination which is also prohibited by the Act. In addition, harassment based upon any of the above protected categories is prohibited by the Act. Discrimination in violation of the Act will not be tolerated.
Violators will be subject to disciplinary action.