HOY Interest Form

To see if you pre-qualify for the HOY program, please fill out the following form to the best of your ability. An HOY staff person will contact you within 2 business days to notify you and see if you have any questions. All information is secure and confidential.

Contact Information

Demographic Information

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Assesment of Challenges to Employment/Education

To be eligible for WIA grant funded HOY services, youth must have at least 2 "barriers" to employment and/or education. Please answer the following questions to the best of your ability.