Phoenix Indian Center Has Moved. Doors Now Open.
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602-264-6768
4041 N. Central Ave. Building B, Phoenix, AZ 85012
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About
Our New Location
History
Key Personnel
Board of Directors
Press and Media
Success Stories
Working at the Phoenix Indian Center
Support Us
Financial Support
Gifts In Kind
Volunteer
Phoenix Indian School Visitor Center
Services
Resources
Human Trafficking Resources
Language & Culture
Workforce Development
Prevention Services
Youth Development
Civic Engagement
U.S. Census
Events
Calendar
Silver & Turquoise Ball
Arizona American Indian Excellence in Leadership Awards
Southwest American Indian 2SLGBTQIA+Rainbow Gathering
Indigenous Art Market & Fashion Showcase
2024 Gourd Dance and Social Powwow
Thunderbird Throttle
Western Regional 166/477 Training
Workshops & Classes
Contact
DONATE NOW!
Home
About
Our New Location
History
Key Personnel
Board of Directors
Press and Media
Success Stories
Working at the Phoenix Indian Center
Support Us
Financial Support
Gifts In Kind
Volunteer
Phoenix Indian School Visitor Center
Services
Resources
Human Trafficking Resources
Language & Culture
Workforce Development
Prevention Services
Youth Development
Civic Engagement
U.S. Census
Events
Calendar
Silver & Turquoise Ball
Arizona American Indian Excellence in Leadership Awards
Southwest American Indian 2SLGBTQIA+Rainbow Gathering
Indigenous Art Market & Fashion Showcase
2024 Gourd Dance and Social Powwow
Thunderbird Throttle
Western Regional 166/477 Training
Workshops & Classes
Contact
DONATE NOW!
Home
About
Our New Location
History
Key Personnel
Board of Directors
Press and Media
Success Stories
Working at the Phoenix Indian Center
Support Us
Financial Support
Gifts In Kind
Volunteer
Phoenix Indian School Visitor Center
Services
Resources
Human Trafficking Resources
Language & Culture
Workforce Development
Prevention Services
Youth Development
Civic Engagement
U.S. Census
Events
Calendar
Silver & Turquoise Ball
Arizona American Indian Excellence in Leadership Awards
Southwest American Indian 2SLGBTQIA+Rainbow Gathering
Indigenous Art Market & Fashion Showcase
2024 Gourd Dance and Social Powwow
Thunderbird Throttle
Western Regional 166/477 Training
Workshops & Classes
Contact
Home
About
Our New Location
History
Key Personnel
Board of Directors
Press and Media
Success Stories
Working at the Phoenix Indian Center
Support Us
Financial Support
Gifts In Kind
Volunteer
Phoenix Indian School Visitor Center
Services
Resources
Human Trafficking Resources
Language & Culture
Workforce Development
Prevention Services
Youth Development
Civic Engagement
U.S. Census
Events
Calendar
Silver & Turquoise Ball
Arizona American Indian Excellence in Leadership Awards
Southwest American Indian 2SLGBTQIA+Rainbow Gathering
Indigenous Art Market & Fashion Showcase
2024 Gourd Dance and Social Powwow
Thunderbird Throttle
Western Regional 166/477 Training
Workshops & Classes
Contact
Job Readiness Training/Youth to Work (Y2W) Internship Application
Home
Job Readiness Training/Youth to Work (Y2W) Internship Application
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Step
1
of 3
Name
*
First
Last
Preferred Name
Physical Address (no PO Box)
*
Address Line 1
Address Line 2
City
--- Select state ---
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Are your physical address and mailing address the same?
*
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Mailing Address
Address Line 1
City
Arizona
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
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New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Zip Code
What county do you live in?
*
Cell Phone Number
*
Email
*
Birthdate
*
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Please select your gender
*
Male
Female
Two-Spirit
Agender
Genderqueer
Genderfluid
Do you identify as American Indian?
*
Yes
No
With which tribe do you identify?
*
Please select your race
*
African American / Black
American Indian / Alaskan Native
Asian
Pacific Islander / Native Hawaiian
Multi
Other
White
Please select your ethnicity
*
Hispanic / Latino
Not Hispanic / Latino
What high school do you attend?
*
What is the name of your school district?
*
What year will you graduate high school?
*
2023
2024
2025
2026
Parent/Guardian Name
*
First
Last
Parent/Guardian Cellphone Number
*
Parent/Guardian Email
*
Photo Release: Please indicate your selection (must be completed by parent or guardian if applicant is under 18 years old)
*
I hereby authorize and give full consent to PHOENIX INDIAN CENTER, INC. to reproduce, publish, display and/or copyright all written information, live broadcasts, still or motion photographs/videos and/or voice recordings taken by them or agents, in which the minor listed on this application appears. I release PHOENIX INDIAN CENTER, INC. and its funders, representatives and assignees from any and all claims, demands and causes of action of every nature and kind arising out of or connected with the use of these broadcasts, photographs, videos and/or voice recordings. I further agree that PHOENIX INDIAN CENTER, INC. may use or cause to be used, these items for any and all exhibitions, public display, publications, commercial art and advertising purposes without limitation or reservation or any fee
I do not authorize and give full consent to PHOENIX INDIAN CENTER, INC. to reproduce, publish, display and/or copyright all written information, live broadcasts, still or motion photographs/videos and/or voice recordings taken by them or agents, in which the minor listed on this application appears.
How did you hear about us?
*
Family/Friends
Website
FaceBook
Twitter
Instagram
Radio
Newsletter
Referral
Flyers
School
Are you and/or your household members interested in receiving the COVID-19 vaccination?
Yes
No
The Phoenix Indian Center is able to arrange for you and/or your household members to receive the vaccination.
How many youth are in your household?
How many adults are in your household?
Next
Select which date you want to attend the Youth Job Readiness Training
*
October 29, 2022
Time: 8:00 AM - 3:30 PM (same time each date). October 29th session will be from 9AM-3PM. Held at the Phoenix Indian Center located at 4520 N Central Ave, Ste 250, Phoenix, AZ 85012. Youth Job Readiness Training is required for the Y2W paid internship program.
Top 3 Career Interests/Areas of Interests:
Are you interested in the Youth to Work (Y2W) Paid Internship Program?
*
Yes
No
Are you a returning participant?
*
Yes
No
Do you have valid photo ID to provide to your employer if required?
*
Yes
No
What type of work environment do you prefer?
Virtual
In-Person
No Preference
Transportation is the responsibility of the intern. In-Person and hybrid environments require a COVID -19 vaccination.
Have you received the COVID-19 vaccination?
Yes
No
Please list previous employer:
Technology Access
Please Note: The answers to the following questions about your access to technology do not automatically qualify or disqualify you from this program.
Do you have a computer or laptop?
*
Yes
No
Is your computer/laptop able to perform job related tasks (ZOOM meetings, Google docs, Microsoft Suite, etc.)?
*
Yes
No
Do you have a webcam, speaker, and microphone for online meetings and tasks?
*
Yes
No
Do you have reliable high-speed internet?
*
Yes
No
Work Related Experience
Previous employment, school clubs, volunteerism.
1.) Name of Employer/Club
1.) Dates Employed From/To
1.) Position
1.) Duties Performed
2.) Name of Employer/Club
2.) Dates Employed From/To
2.) Position
2.) Duties Performed
Do you have a resume?
*
Yes
No
Upload your resume here
Click or drag files to this area to upload.
You can upload up to 2 files.
Reference
Must list 1 reference. DO NOT include family members. Include at least one previous supervisor/teacher/counselor/coach/clubs/church.
Reference Name
*
Reference Phone
*
Reference Email
*
Reference Occupation
*
Education
Additional School Activities (ex. School Clubs, Student Council, Sports, etc.)
College (ex. Hoop of Learning, ACE, etc.)
Dates Attended
Expected graduation date/date of diploma received/date of program completion
Other Skills/Qualifications (honors/membership/certification/CPR/office software/food handlers/etc.)
Have you been convicted of a crime?
*
Yes
No
A conviction may not necessarily disqualify an applicant from employment.
Please explain:
*
If “YES” please fully explain the circumstances and provide date
Please provide any additional information you feel may be helpful to us in considering your application and job placement, i.e. job restrictions/special needs/accommodations regarding health or disability of any kind
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Student Applicant Acknowledgement
BY TYPING MY NAME BELOW: I verify that the answers given herein are true and complete to the best of my knowledge. I understand that false or misleading information given in my application or interview(s) may result in removal from the program. I understand, also, that I am required to abide by all rules and regulations of the Phoenix Indian Center. If applying for the Youth to Work (Y2W) Internship Program, I agree to adhere to the weekly employment schedule when assigned. I understand that the submission of my application does not guarantee employment. I also understand and acknowledge that all communication will be between myself and the Phoenix Indian Center Youth Development Staff regarding all matters of the Y2W Program. I understand and acknowledge that any violation of code of conduct and any unprofessional behavior reported by my employer site may result in my removal from the Y2W Program.
Student Electronic Signature
*
Today's Date
*
Parent/Guardian Acknowlwdgement
BY TYPING MY NAME BELOW: I confirm that I am the parent/guardian of the student listed on this application. I acknowledge that my child is participating in a youth employment program that requires attendance, active participation and professionalism. I understand that it is the responsibility of my child to be accountable for turning in timesheets on time, picking up their pay check on time and that any violation of Y2W code of conduct or any unprofessional behavior may be subject to removal from the program. I understand that all communication will be conducted between my child and the Phoenix Indian Center Youth Development Staff regarding all matters of the Y2W Program.
Parent Electronic Signature
*
Today's Date
*
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