Here is some information about the East Haven Teen Job Program through the East Haven Youth Services Bureau. 
Visit their website for contact info or more
http://www.townofeasthavenct.org/youth-services-bureau/pages/ysb-programs-teens
Teen Job Bank Program:
- A job listing service available to East Haven youth, 12-18.
- Interested youth fill out an application and are interviewed.
- Job Bank members are linked with residents who request jobs to be done for pay such as babysitting, yard work or housecleaning.
Below is the Job Bank Application. Visit the website to print it out and bring to East Haven Youth Services at:
Lower Level of Town Hall
East Haven, CT 06512
Teen Job Bank Application
1. Name ___________________________________ Phone ______________________
2. Address ________________________________________________________________
3. Birthdates ________________________ Age __________________________
4. School __________________________ Grade ________________________
5. Email Address _______________________________________________
6. When are you available for work? (Check as many as needed)
_____ After School _____ Weekdays _____ Weekends
7. Check any jobs you are interested in doing
______ Babysitting _____ Housecleaning _____ Lawn Moving
______ Yard Work _____ Snow Shoveling _____ Helping Senior Citizens
Other (Please list) ____________________________________________________________
8. Previous Work Experiences or areas of interest __________________________________
___________________________________________________________________________
9. What part of East Haven are you able to work in? (Check as many as needed)
_____ Foxon _____ Center of Town _____ Momaguin
I certify the above information is true to the best of my knowledge. I understand the town of East Haven Youth
Service Bureau will not screen potential employers and is not liable for any damages or accidents incurred on
the job. I accept the responsibility of ensuring my child’s safety. Any changes to this application must be
reported to the Youth Services Bureau to continue participation in the program. The parent agrees to hold the
Town of East Haven, it’s officers, agents and/or employees harmless from any and all actions, causes of actions,
suits, claims, controversies, damages, of every nature, and name, and law or equity, including attorney fees and
costs, which they may have, arising out of the municipality’s negligence, as well as the negligence of its
officers, agents and/or employees, concerning the job bank program.
Applicant Signature _____________________________________ Date _______________
Parent/Guardian Signature ________________________________ Date _______________
