YouthWORX Application Form

Required fields are marked with an asterisk (*)

In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this application form will only be used by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to processing the Youth Worx Program application.

If you have any questions about the collection and use of your personal information, please call 311 or email contactus@311.halifax.ca.

Have you applied to YouthWORX (formerly YouthLive) before? *
Are you currently working? *
Are you currently in school? *
If you are not in school, will you be returning to school in the next 6 months? *
Do you have any job experience?
Can you make a full-time (8:45-4:15pm Mon-Fri) commitment? *