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4. TeenLink Program Application

   The Village's TeenLink Program provides residents with a list of eligible Skokie Teens willing to do various outdoor tasks – such as yard work, mowing, planting, pulling weeds, raking leaves and snow shoveling. Teens interested in participating in this program and the teen’s parent or guardian, must read, agree to
   the terms, complete and submit the application to the Village’s Health and Human Services Department.

   How does Teenlink work?
   1) Teens submit signed and completed applications to the Village Health and Human Services, The Village of Skokie, 5127 Oakton Street, Skokie, IL 60077 or email to Annmarie.Benuzzi@skokie.org. For more information contact Health and Human Services at 847/933-8208.
   2) The application is reviewed by Health and Human Services staff.
   3) The applicant will be notified if their application is not approved, otherwise the applicant will be added to the Teenlink Participant List within 5 business days.
   4) The Teenlink Participant list is distributed to Skokie residents upon request. The Teenlink list will also include the fees for their services and the services they are willing to accept.
           a. Not the Teenlink list will only include parent/guardian contact information if the teen is under 18 years of age.
   5) The Skokie resident contacts the Teenlink participant’s parent/guardian (if participant is under 18 years of age) or the participant (if 18 and over) directly via the contact information provided by the applicant. For participants under the age of 18, the parent/guardian is responsible for accepting the request for services prior to connecting their teen with the resident.
   6) The Teenlink participant, with the approval of their parent/guardian and resident coordinate the services to be provided by the Teenlink participant. The services provided shall be limited to the following: outside work only including such tasks as mowing, planting, pulling weeds, raking leaves and snow shoveling. Participants are not allowed to complete indoor tasks or enter a resident’s home.

   Who is eligible to participate in Teenlink:
   1) The participant must be a Skokie resident.
   2) The participant must be minimum of 13 years old and a maximum of 19 years old.

   Note that all participants must renew their application to the Teenlink program annually by May 1. A reminder notice will be sent to all participants prior to May 1 annually.

   Please be advised that the sole responsibility of the Village of Skokie regarding the Teen Link Program is to provide a service to connect teenagers seeking various property maintenance work with those Skokie residents who have such need for someone to do those jobs.
   

   The Village does not perform any type of background check on those requesting the list of teenage service providers. It is the responsibility of the parent/guardian to determine if the work request is appropriate for their teen. Additionally, the Village of Skokie does not recommend that your teen enter the residence of where he/she is working without your presence and/or permission.
   
   

6. Participants must renew their application annually.
8. Participant (Teen's) Name:
10. Street Address:
12. City, State, Zip:
14. Major Cross Streets Nearest to House (Example “Skokie Blvd & Oakton St) *Will be shared with Skokie resident to identify nearby participants.
16. Birth Date (*To verify age. Will not be shared and will be kept confidential)
18. Cell Phone (Teen):
19. Home Phone (Teen):
21. Teen's Email Address:
23. The following parent guardian information is required. Parent/guardian contact information will be shared with residents on the Teenlink Participant List.

25. Parent/Guardian Name:
27. Parent/Guardian Cell Phone:
29. Parent/Guardian Email Address:
31. I am available to provide the following services (check all that apply):
33. Lawn Care:

    (Please check preferences)

    1. Cutting Grass
    2. Raking Leaves

    1. Pulling Weeds

    1. Planting

    1. Snow Shoveling
35. Do you own a lawnmower?

    1. Yes

    1. No
36. Do you own a rake?

    1. Yes

    1. No
38. Do you own a snow blower?

    1. Yes

    1. No
39. Do you own a snow shovel?

    1. Yes

    1. No
41. If a Skokie resident can provide you with a lawnmower would you be comfortable using it?

    1. Yes

    1. No
43. If a Skokie resident can provide a snowblower would you be comfortable using it?

    1. Yes

    1. No
45. Please check one:

    1. I have access to transportation.

    1. I can assist with work that is within walking distance only.
47. To better serve Skokie residents, please list an acceptable range of pay that you expect for assisting at a Skokie home. (How much do you want to be paid per hour?)
49. Hold Harmless:*

    Please upload a document with the signatures of the applicant and their legal guardians (if applicant is under 18) which states " I hereby agree to be responsible for, and shall defend, indemnity and hold harmless the Village of Skokie, it’s
    elected officials and employees from any and all claims, demands, lawsuit, costs including attorneys costs, expenses and liabilities, by reason of personal injury, including bodily injury or death and or property damage, as a result of the participation in the Teen Link Program."

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