Thomas P. Gordon
County Executive
Sophia Hanson
General Manager
2016 New Castle County Summer Youth Employment Program
Thank you for your interest in the 2016 New Castle County Summer Youth Employment
Program.
 The New Castle County Summer Youth Employment program is open to all New Castle
County Youth Ages 14-20.
 Bring your completed application AND required documents to New Castle County’s
Application Processing Event on Saturday, March 19, 2016 from 9:00 am – 3:00 pm.
ALL APPLICANTS MUST ATTEND THIS EVENT IN ORDER TO BE CONSIDERED FOR THE
PROGRAM!!
 The Application Processing Event on March 19, 2016 will be held at Garfield Park
Community Recreation Center/New Castle PAL, located at 26 Karyln Drive New Castle,
DE 19720.
Thomas P. Gordon
County Executive
Sophia Hanson
General Manager
2016 New Castle County
Summer Youth Employment Program
Application Processing Event
Saturday, March 19, 2016, 9AM - 3PM
Garfield Park Community Recreation Center/New Castle PAL
26 Karlyn Drive New Castle, DE 19720
Call (302) 395-5600 for more information.
ALL APPLICANTS MUST ATTEND THIS EVENT IN ORDER TO BE CONSIDERED FOR THE
PROGRAM!!
The 2016 New Castle County Summer Youth Employment Program, for income-eligible
youth ages 14 – 20, runs from June 20 through August 26, 2016.
Beginning February 8, 2016, applications will be available online at www.nccde.org/syep or
available for pick up at the following New Castle County facilities:



Gilliam Community Services Building, 77 Reads Way, New Castle, DE 19720
Appoquinimink Library, 651 N. Broad Street, Middletown, DE 19709
Corbit-Calloway Memorial Library, 115 High Street, Odessa, DE 19730
Call (302) 395-5600 for more information
www.nccde.org/syep
Thomas P. Gordon
County Executive
Sophia Hanson
General Manager
2016 New Castle County Summer Youth Employment Program
APPLICATION REQUIREMENTS & DOCUMENTATION CHECKLIST
**NOTE: PLEASE PROVIDE COPIES OF ALL BELOW REQUIRED DOCUMENTATION**
In order for your application to be processed, proof and documentation of age, social security
number and income status are REQUIRED. Please find the list of acceptable documentation
below. If documentation is not listed below, it cannot be used.
APPLICATION:
 Completed and signed Summer Youth Employment Program Application
FOR PROOF OF AGE, ONE OF THE FOLLOWING IS ACCEPTABLE:




Birth certificate
State-issued driver’s license
State-issued photo ID
Documentation from school officials with birth date
FOR PROOF OF SOCIAL SECURITY NUMBER, ONE OF THE FOLLOWING IS ACCEPTABLE:




Social Security Card
Employment records
Letter from Social Security Administration with SS#
Signed documentation from school officials with SS#
FOR PROOF OF INCOME STATUS, ONE OF THE FOLLOWING IS ACCEPTABLE:
 2015 W-2
 Copy of three (3) most recent pay stubs
IF APPLICABLE PLEASE PROVIDE THE FOLLOWING DOCUMENTATION;
 Agency letter verifying Social Security, pension/retirement pay, disability, annuities, child
support, unemployment, Medicaid, TANF, food benefits, DE Healthy Child Program, or other
sources of periodic income.
(Copies of Personal Income Tax Return do not document income. If parent/guardian operate their
own business, they must supply a business license with entire current Business Tax Return.)
Applicants should provide copies, which can be left with your application file, of all the
required documents listed on this page to ensure you will have a completed application.
Incomplete applications will not be considered for employment with Summer Youth
Employment Program. For questions please call 302-395-5600.
Youth participants must be 14 to 20 years of age. Working permits and parental/guardian consent forms will be
required for youth 17 years of age and younger. Participants will receive the minimum hourly wage of $10.10
per hour. All parts of this application must be completely filled out in order for it to be considered for
employment.
YOUTH APPLICATION FOR STATE SUMMER YOUTH EMPLOYMENT PROGRAM
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Last Name
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First Name
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M.I.
Birth Date: Click here to enter text.
Age: Click here to enter text.
S.S. # Click here to enter text.
Address: Click here to enter text.
County: Click here to enter text.
City: Click here to enter text.
State: Click here to enter text.
Zip Code: Click here to enter text.
Mailing Address (if different from above): Click here to enter text.
Home Phone: Click here to enter text.
Cell Phone: Click here to enter text.
I am a member of a Two-Parent Family:
☐ Yes ☐No
Single-Parent Family: ☐ Yes ☐No
Total Family Members in Household: Click here to enter text.
Family Income
Income Source
Income Amt.
Gross Annual Income
Parent(s)/Guardian Name (s)
Relationship
Employer
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Total Family Income: Click here to enter text.
PROOF OF PARENTAL/GUARDIAN INCOME (W-2 FORM) MUST DOCUMENT THE ABOVE
Education
Last Grade Completed: Click here to enter text.
Last School Attended: Click here to enter text.
High School Graduate? ☐ Yes
☐No
GED? ☐ Yes ☐No
College: Click here to enter text.
Number of Years Completed: Click here to enter text.
Are you currently attending any education or training classes? ☐ Yes
School or Training Agency: Click here to enter text.
☐No
Location: Click here to enter text.
Work History List all work including part-time and volunteer work. (You may add additional pages.)
Current or Most Recent Employer
Name: Click here to enter text.
Address: Click here to enter text.
Job Title and Duties: Click here to enter text.
Work Hours per Week: Click here to enter text.
Hourly Wage: Click here to enter text.
Starting Date: Click here to enter text.
Ending Date: Click here to enter text.
Reason for Leaving: Click here to enter text.
Additional Employers
Name: Click here to enter text.
Address: Click here to enter text.
Job Title and Duties: Click here to enter text.
Work Hours per Week: Click here to enter text.
Hourly Wage: Click here to enter text.
Starting Date: Click here to enter text.
Ending Date: Click here to enter text.
Reason for Leaving: Click here to enter text.
PLEASE READ CAREFULLY: Your application will not be accepted if this section is not completed:
I certify that the information provided is true to the best of my knowledge. I am aware that the information I have
provided is subject to review and verification. I further understand that I must provide documents to support claims made
in this application.
I am also aware that I am subject to immediate termination from the State Summer Youth Employment Program
if I am found ineligible after enrollment and may be prosecuted for fraud and/or perjury if I knowingly provided false
information. I allow the release of this information for verification purposes, and understand that it will be used to
determine eligibility.
NAME:____________________________________________________ DATE:____________________________
Signature of Applicant
NAME: ________________________________________________
Signature of Parent or Guardian
DATE:____________________________
NAME:________________________________________________
Signature of Grantee-Agency/Organization Representative
DATE:____________________________
Thomas P. Gordon
County Executive
Sophia Hanson
General Manager
New Castle County Summer Youth Employment Program
2016 Applicant Supplemental Questionnaire
Name of Applicant:
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Last
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First
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M.I.
Email Address: Click here to enter text.
1. Are you, or have you ever been employed by NCC SYEP?
☐ Yes
☐No
2. If previously employed by NCC SYEP, please indicate the worksites you worked, and dates of employment.
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3. State briefly any accomplishments, hobbies, skills, scholastic honors, interests, or experiences you would like
noted.
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4. What mode of transportation would you most likely utilize to get to and from work?
Choose an item.
Thomas P. Gordon
County Executive
5.
Sophia Hanson
General Manager
What is the maximum distance you would be willing to travel for a possible worksite? (Check all that apply)
☐ 1 mile or less
☐2-4 miles
☐5-7 miles
☐7-10 miles
☐10 miles or more
6. While the New Castle County Summer Youth Employment Program may not be able to assign you specifically to
a worksite within your industry of interest, please indicate your top three choices from the options below.
Choice 1
Choice 2
Choice 3
Choose an item.
Choose an item.
Choose an item.
7. Please describe your career goal and how you will achieve it?
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8. Please identify any commitments with dates that you have during the summer that should be taken into
consideration when developing your work schedule (i.e. Firefly, vacation, college, sports, extracurricular activities
for schools, etc.)
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ELIGIBILITY TABLES
Please use and follow the below tables when selecting participants.
TABLE A
The authorizing legislation for the program requires that preference for employment be given to youth who are
members of households whose income does not exceed 200% of the household poverty.
Family
Size
1
2
3
4
5
6
7
8
9
10
200% Level*
$23,340.00
$31,460.00
$39,580.00
$47,700.00
$55,820.00
$63,940.00
$72,060.00
$80,180.00
$88,300.00
$96,420.00
*This table is subject to change.
TABLE B
Total # of
Youth hired
With SSYEP $
1
2
3
4
5
6
7
8
Minimum #
of disadvantaged
Youth
1
1
2
3
4
4
5
6
Maximum #
of non-disadvantaged
Youth
0
1
1
1
1
2
2
2