Internship Application Old

Job Readiness Training & Internships Old

Fill out the form below to apply for our Job Readiness Training & Internship Program

Because we are unable to communicate with students using their school-issued email addresses, please provide your personal email address and NOT the email address provided by your school. Contact our office at (805) 964-4710 ext.4424 if you need additional assistance.

Applications are due by 5pm on March 7, 2022.

Name

Email

Street

Phone

City

State

Zip

Birthday

EDUCATION AND CAREER PLANS

1. School Currently Attending

2. Grade Level

3. Expected Year of Graduation

4. Please indicate if you have been or are currently a participant in any of these programs and/or academics:
Note: this information will not be used to determine your eligibility. Your response is voluntary and helps us know our student audience for program planning and reporting purposes.

Accelerated Academic Program for Leadership and Enrichment (AAPLE) Advancement Via Individual Determination (AVID) International Baccalaureate Program (IB) Porgram for Effective Access to College (PEAC) Dual Enrollment or Concurrent Enrollment (SBCC or Alan Hancock) Any High School Academy Any CTE course or pathway Special Education (504 Plan, IEP, Bridges, etc.)

5. If you could have any career in the world, what would it be, and why? Your response will help us understand your interests. (100 characters max.)

6. Career pathway you are most interested in exploring

SOCIO-ECONOMIC INFORMATION
We appreciate your responses to the below questions to help us better understand the needs of our student population and to ensure we are giving priority to students with socio-economic needs. Your answers are completely voluntary and will be kept confidential.

1. What is the highest level of education that one or both parents/guardians received?

2. Are you eligible for or participating in the Free or Reduced-Price Lunch program?

yes no

3. Are you eligible for or participating in the Title I Part C Migrant program? This program supports migrant children to help reduce the educational disruption and other issues that result from repeated moved. Learn more here: cde.ca.gov/sp/me/mt/overview.asp

yes no

4. Are you/have you been considered Homeless? California's definition of homeless includes youth living with multiple families in the same dwelling, living in motels, and more. Learn more about what is considered homeless here: cde.ca.gov/sp/hs/homelessdef.asp

yes no

5. Have you ever lived in Foster Care or been eligible for Foster Care?

yes no

6. Have you ever been considered Directly Certified (receiving assistance under CalFresh (formerly Food Stamps), California Work Opportunity and Responsibility to Kids (CalWORKs), or the Food Distribution Program on Indian Reservations (FDPIR))?

yes no

7. Have you ever been enrolled in Juvenile Court School? In Santa Barbara County, these schools include: Dos Puertas School/Santa Maria Juvenile Hall and Los Robles High School/Los Prietos Boys' Camp.

yes no

DEMOGRAPHIC INFORMATION
Your answers are completely voluntary and will be kept confidential. The purpose of collecting this information is to be able to report to our funders about the make up of our student population.

1. How would you describe your gender?

2. Preferred pronouns

3. What is the primary language spoken in your home?

4. Select the racial or ethnic categories with which you most closely identify

REFERENCE REQUEST
Please enter the contact information of a person that can recommend you for the program.
This person MUST BE a teacher, a counselor, or a supervisor and CANNOT be a family member.

First & Last Name of person providing the reference:

Reference Phone Number

Reference Email Address

ESSAY
Select one of the following prompts to answer (500 words). Your response helps us get to know you better. Though we encourage you to check for grammar and spelling, we are not looking for a perfect essay. Our main goal is to get a sense of who you are and what is important to you. Create the essay in Microsoft Word or Google Docs to check grammar and spelling, then copy and paste it here.

Summary of proposed prompt 1: "Describe the world you come from; for example, your family, clubs, school, community, city, or town. How has that world shaped your dreams and aspirations?"

Summary of proposed prompt 2: "At Partners in Education, we work to improve our community in different ways, from tackling the digital divide to being a good friend. Describe one way in which you have contributed to your community, whether in your family, the classroom, your neighborhood, etc."

3970 La Colina Road, Suite 9, Santa Barbara, CA 93110 | (805) 964-4710

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Santa Barbara Partners in Education is a 501(C)3 organization administered by the Santa Barbara County Education Office.

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