YOUTH SERVICE PROVIDER
JOB SKILLS WORKSHOP
REQUEST FORM

L.A. Youth at Work Job Skills Workshops are traditionally conducted on Saturday mornings. All Workshops are free and open to the public.

All workshop requests will be confirmed within 5 business days of receipt.

Contact Information

Organization:

Address: City: Zip:

Contact: Telephone: E-mail:

FAX: Major Cross Streets:

Job Skills Workshop Information

Please indicate the date, time and location of your Job Skills Workshop[s]:

Date: Time:
Location:

Date: Time:
Location:

Date: Time:
Location:

Please indicate the expected number of JSW participants [optional]:

We are interested in attending a JSW Train-the-Trainer Session

Comments or Questions