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Section 1 of 3
A completed CAYIP application packet consists of three parts: the CAYIP Application, the CAYIP Agreement to Participate, and the Youth/Guardian Expectation Form. This is section 1 of 3.
Someone other than parent/guardian who can respond in an emergency.
Please indicate the days of week and times of day you are AVAILABLE to work this session.
PARENTS/GUARDIANS are responsible for ensuring the youth has reliable transportation to and from their internship site which may include coordinating, planning, or providing transportation themselves.
Summer school will not impact your acceptance into the program, but is important to note for planning purposes. Please check “yes” if it is likely that you will attend summer school.
Please note: Youth can only miss ONE week during the summer session AND advanced notice is REQUIRED. In order to maintain the integrity and quality of the CAYIP experience, we cannot accommodate more than one week of vacation for interns (this includes time at summer enrichment programs, sports camps, recreation camps, etc.)
This can include supports such as job coaches, mentors, YWLP, Big Brother/Big Sisters, therapists, City of Promise, Abundant Life, AVID, Y-CAPP, athletic coaches, etc.
Ideally, this would be an adult who can vouch for your ability to successfully complete the program and who does not reside in your home.
This can include behavioral, emotional, physical or health needs. If your child has an IEP or benefits from other modifications and supports, please specify.
This field is not part of the form submission.
* indicates a required field