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Durham YouthWorks Interest Form

  1. COD Skyline with Bulls Stadium
  2. Durham YouthWorks 2021
  3. Are you in School?*
  4. If not applicable, write N/A.
  5. Please Select Your Preference for Participating in Session 1: June 7 - July 2 *Note: You will be asked to provide your preference for all three sessions, please only select first, second, and third preference once for the three sessions.
  6. Please Select Your Preference for Participating in Session 2: June 28 - July 23 *Note: You will be asked to provide your preference for all three sessions, please only select first, second, and third preference once for the three sessions.
  7. Please Select Your Preference for Participating in Session 3: July 26 - August 20 *Note: You will be asked to provide your preference for all three sessions, please only select first, second, and third preference once for the three sessions.
  8. This Program is Designed to Be Virtual. In The Event In-Person Opportunities become Available, Are You Open to Participate in These Opportunities in Summer 2021?
  9. Leave This Blank:

  10. This field is not part of the form submission.