Workforce Application - Innovative Impacts Inc.

Applicant Name

First

Last

Enter the name of the young person applying.

Applicant Date of Birth

Used to determine age-appropriate programs and whether guardian information is required.

Is the applicant under 18?

Yes
No

Parent or Guardian Name

First

Last

Applicants under 18 should complete all three guardian fields.

Parent or Guardian Email

Applicants under 18 should provide an adult email for communication and permission requests.

Parent or Guardian Phone

Applicants under 18 should provide an adult phone number.

Applicant Email Address

Use an email the applicant checks regularly. If the applicant does not have one, leave this blank and provide guardian contact information.

Applicant Phone Number

Home Address

Street address, city, state, and ZIP. This helps us understand transportation needs and nearby opportunities.

School, College, or Current Employer

Current Grade or Education Level

Which opportunities interest you?

Get a Job, Get a Ride, Get a Life
Keystone Interns
Young Entrepreneurs Training Institute (YETI)
Deer Creek Hospitality Academy
I am not sure yet — help me choose

Choose all that apply. Selecting an option does not commit you to a program.

Which Get a Job cohort would you prefer?

Fall Session 1 — Sept. 7 & 9, 14 & 16, 21 & 23, 2026 | 5–8 p.m.
Fall Session 2 — Sept. 8 & 10, 15 & 17, 22 & 24, 2026 | 5–8 p.m.
Fall Session 3 — Nov. 2 & 4, 9 & 11, 16 & 18, 2026 | 5–8 p.m.
Fall Session 4 — Nov. 3 & 5, 10 & 12, 17 & 19, 2026 | 5–8 p.m.
Winter Session 1 — Feb. 22 & 24; March 1 & 3, 8 & 10, 2027 | 4–7 p.m.
Winter Session 2 — Feb. 23 & 25; March 2 & 4, 9 & 11, 2027 | 4–7 p.m.
First available cohort
I am not sure — please help me choose

Choose the schedule that works best. Selecting a cohort records your preference but does not guarantee placement.

What would you like to learn, accomplish, or change?

Tell us what a successful experience would look like for you.

Work, Volunteer, or Leadership Experience

Previous experience is welcome but not required. Include school activities, caregiving, informal work, or community service.

When are you generally available?

Can you reliably get to classes or work opportunities?

Yes
Usually, but I may need occasional help
Transportation is a significant barrier
I am not sure yet

What barriers or support needs should we understand?

Examples may include transportation, scheduling, childcare, accessibility, required documents, interview clothing, or confidence. Honest answers help us plan support and do not automatically disqualify you.

Accessibility or Accommodation Requests

Share only what you want us to know. We will follow up privately when an accommodation may help you participate.

Are you legally eligible to work in the United States?

Yes
No
I am not sure

Some programs include paid employment or internships.

Application Acknowledgment

I confirm that this information is accurate to the best of my knowledge, and I give Innovative Impacts permission to contact the applicant and, when applicable, the parent or guardian about programs and next steps.

Optional Program News Consent

Yes, Innovative Impacts may send the adult contact listed above occasional program news, volunteer opportunities, and fundraising updates. I understand I can unsubscribe at any time.

This is optional and does not affect application review.

Your Next Step Starts Here.

Before you begin

Questions before you apply?