For Students | YouthBuild Mahoning County

Mahoning County Youth Build

YouthBuild of Mahoning County

If you would like to be considered for YouthBuild services, please complete and submit the form below.

Last Name:
First Name:
Middle Initial:
Address:
City:
Zip Code:
Telephone:
Email:
Age:
	Male Female
Please check which of the following is closest to your household's yearly income:
$0 - $5000	$20,001 - $25,000
$5001 - $10,000	$25,001 - $30,000
$10,001 - $15,000	$30,001 - $35,000
$15,001 - $20,000	$35,001 - $40,000
Where did you hear about YouthBuild?
	If Other:
Education:
High School Diploma?	Yes No
G.E.D.?	Yes No
Why did you drop out of high school?

Construction:
Have you had any construction experience either paid or unpaid? Please describe the experience:

Why do you want to enroll in YouthBuild?