Contact Youth Empowers Service How can we help? Send us an email! Name* First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Phone*Communication Preference* Email Phone Text I AM A...*Youth (Ages 14-21)Parent of a Youth aged 14-21Career ConsultantSpeakerEducatorBusiness OwnerGovernment LiaisonNon-profit Organization RepresentativeContractorOther - I have a general question. Please answer the following in regards to your child.Gender* Male Female Birthdate* Month Day Year Race* Asian or Pacific Islander Black or African American Hispanic or Latino Native American or American Indian White Other The following apply: Allergies Disability Foster Care Describe Allergies Describe Disability Parent Name* First Last Parent Phone*Parent Email* Enter Email Confirm Email I am interested in the following YES programs:* Youth Apprenticeship Career & Education Counseling Empowerment Training Life Skills & Wellness Development Where do you teach?* High School Community College College or University Vocational Training School Is your business willing to host a youth apprentice for YES?* Yes No What is the name of your business?* Business Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code My business is* An Employer Company with Employees Single Owner Entrepreneur Are you willing to submit a business profile?* Yes No I represent a* Local Government Department State Government Department Federal Government Department Name of government entity* Name of non-profit organization* Purpose of your non-profit organization* Name of contract company* Name of point of contact for contract company* Are you interested in doing contract business with YES, LLC with regards to:* Federal Contract Opportunity State Contract Opportunity Local Contract Opportunity Corporate Business to Business Opportunity Contract vehicle:* 8a Contract Opportunity Woman Owned Business Economically Disadvantaged Business GSA Other Contract Opportunity Please specify* Are you willing to provide a capability statement?* Yes No I am interested in participating in the following YES programs:* Youth Apprenticeship Career & Education Counseling Empowerment Training Life Skills & Wellness Development Are you willing to submit a resume or bio with references?* Yes No Are you willing to an organizational profile of your non-profit?* Yes No Are you willing to get a background check?* Yes No Please describe your subject matter expertise or experience to contribute to YES programs.*Are you willing to volunteer to conduct a monthly workshop/training to youth on your expertise?* Yes No What is your apprentice occupation for the youth?* What type of apprenticeship are you offering?* Paid Unpaid Does your business have liability insurance for employees?* Yes No Additional Details Δ Call Us 540-788-2161 Email Us contact@yesllcnow.com Mailing Address P.O. Box 629 Garrisonville, VA 22463-9998
