Get a Youth Intake Form
Download It Now
To download the form we recommend right-clicking the button, then saving the PDF to your computer:
NOTE: Opening the form in your browser may not work correctly. It is recommended that you fill out the PDF using the Adobe Reader software.
Mac users: The Mac application Preview will not save the PDF correctly; please use Adobe Reader.
Get It By Email
Send an email to email@example.com requesting to receive the Intake Form.
Within one business day you will receive an email reply with the PDF form attached.
Return the Form to Us
Fill out all of the blank fields on the form.
Once completed, return the PDF to us by:
- Hand delivering it (get directions)
- Fax: (630) 955-2059, Attention: Youth Career Counselor
- Email: firstname.lastname@example.org
Once we have received your completed form, you will be contacted to schedule an Intake Appointment.
Please Note: the appointment is to determine your final eligibility for the program.