Welcome to the High School Internship Program

Thank you for your interest in the High School Internship Program. Please complete the application below. Once this application is successfully submitted, you will receive information regarding next steps. Please note: You will NOT be fully registered for the program until you have completed all of the required steps.

IMPORTANT NOTES

This form requires an email address. This email account will be the primary way we communicate with you. This email account must belong to the applicant. If you do not have a personal email address, please visit one of the following links below to get a free email address before registering.
You may select one of these providers to sign-up for a free email address:

A social security number will be required to participate in the High School Internship Program.

This application may take up to 15 minutes to complete. Please review the application below and gather all required information before getting started. You will need the following information to successfully complete this application:

• Social Security Number of the Applicant

• Email Address of the Applicant

• Permanent Address and Contact Information of the Applicant

You must be between the ages of 14-21 by in order to participate in this program.

If you have any additional questions, the Office of Youth Programs can be reached at 202.698.3492 or [email protected].

* = Required

1. Please provide an Email Address and Password (password should be at least 6 characters).

You will need an email address to receive information from us and to log back in to this site.

*Email Address		*Confirm Email
*Password		*Confirm Password

2. Please tell us about yourself.

*Legal First Name

Maiden Name

Middle Name

*Birth Date

/	/
mm	dd	yyyy

*Legal Last Name

*Gender

Suffix (Jr., Sr., III)

*Social Security No. (SSN)

*Confirm SSN No.

*Race

*Language

*Current Educational Status

*Educational-Student Type

*Current Grade

*Current School

*Will you have a half-day school schedule for the 2024-25 school year?

Yes

Unsure

What is your preferred t-shirt size?

*Did you participate in HSIP in 2023-24?

Yes

*Which semester would you prefer to participate in during the 2024-25 school year?

3. Please provide your permanent address and contact information.

*Address

Apt. No. / Suite

*City

*State

*Zip/Postal Code

*Home Phone

Cell Phone

*May we contact you through text message?

By selecting yes you agree that you are responsible for any text message rates through your mobile carrier

Yes

*Do you have a home computer?

Yes

*Do you have access to the internet in your home?

Yes

*What type of internet connection do you have at home?

*What type of technology device do you have?

4. Please tell us who your contacts are.

Emergency

*First Name

*Last Name

*Email Address

*Phone Number

*Relationship

Parent / Guardian

First Name

Last Name

Email Address

Phone Number

Relationship

5. Please tell us about your career interest.

Please complete this section carefully. The Office of Youth Programs will use this information to help determine your placement this year and employers will see it when they review your profile. While we will attempt to place you in a position within your career interests, we cannot guarantee placement based on your selections.

* Please select which type of job assignment you would prefer:

Work Experience (you will receive hands-on experience in a traditional work environment or through a virtual experience)

Work Training/Readiness (you will receive basic skills training and enrichment in a non-traditional work environment or through a virtual experience)

Please select your top three (3) career interests:

*First Choice

*Second Choice

*Third Choice

Please select categories below that best describe the kind of work you would like to do this year:

*Work Kind 1

Work Kind 2

Work Kind 3

*What are your long-term career goals?

*What are your plans for the future immediately after HSIP is over?

6. Supplemental Information.

These questions are asked so that we may better serve you and identify whether you are eligible for additional programs offered by the DOES Office of Youth Programs. Any information you choose to provide in this section will be kept strictly confidential.

6a. Special Accommodations/Medical Information

These questions are designed to ensure that individuals with disabilities and medical conditions have access to all of our programs, services, and activities and are provided with effective communication, consistent with the requirements of Title II of the Americans with Disabilities Act.

*Do you require any special accommodations?

Yes

*Do you have a medical condition that would prohibit your ability to work outside?

Yes

Are you a participant in any of the following organizations? If so, please check all that apply:

Rehabilitation Services Administration (RSA)

Department of Disability Services (DDS)

6c. Public Assistance:

Check here if you or your family are currently receiving public assistance

If so, please check all that apply:

TANF

Food Stamps

SSI

Other Assistance

6c. Income/Family Size:

What is your total family income (gross) for the last six months?

What is the number of family members currently living in your household?

6d. Selective Service:

If you are a male 18 years of age or older, please check here if you have registered for the Selective Service.

6e. Banking:

*How were you paid in the past as a HSIP participant?

*Do you still have your US Bank Card from last year?

Yes

I did not participate last year

*How would you like to be paid for 2024-25 HSIP?

Please note, you will not be able to utilize Chime, Zelle, or Cash app for Direct Deposit

7. Upload Resume.

You will be able to upload a resume at any time by logging into the HSIP Youth Portal. If you need assistance creating a resume, please contact OYP at 202.698.3492.

7. Worksite Assignment Acknowledge *

Participants are not permitted to report to a work site which they are not assigned. All work site assignments are visible in the participant portal and designated by the Office of Youth Programs (OYP) only. A participant’s failure to report to the assigned work site will result in forfeiture of pay for days in attendance at the incorrect site.

8. Certificate of Accuracy *

By checking the box below, I certify that all information provided in this form is true and correct. I confirm that the email address used is soley owned by the applicant.
I understand that this information is subject to verification. I further understand that providing any false information may result in my removal from a DOES Office of Youth Programs program and may subject me to civil and/or criminal prosecution as applicable.

I have read the above statement and would like to submit my application to High School Internship Program

DOES is Equal Opportunity Employer/Provider

Language interpretation services are available without cost.

Auxiliary aids and services are available upon request for individuals with disabilities.

Notice of Non-Discrimination
In accordance with the D.C. Human Rights Act of 1977, as amended, D.C. Official Code Section 2-1401.01 et seq.,(Act) the District of Columbia does not discriminate on the basis of race, color, religion, national origin, sex, age, marital status, personal appearance, sexual orientation, gender identity or expression, familial status, family responsibilities, matriculation, political affiliation, genetic information, disability, source of income, or place of residence or business. Sexual harassment is a form of sex discrimination which is also prohibited by the Act. In addition, harassment based upon any of the above protected categories is prohibited by the Act. Discrimination in violation of the Act will not be tolerated.
Violators will be subject to disciplinary action.