This website helps us organize our Jeffco Teens Internships. It's not a public website. Want to share a public website? Share www.jeffcoteens.org!

Paperwork

Big Group Meetings & Events

Your team meetings

Intern hosted event to attend

Please complete these 5 forms so we can pay you!

Letter of agreement (must be notarized)
Photo release
Professional expectations
Statement of confidentiality
W-9 Tax Form

How & when will I be paid?

Option 1-- If you can bring your guardian to our Thursday October 14th meeting at the Wheat Ridge Rec Center between 4 and 5:30 PM: (Note, we will stay until 6:00 PM if any parents want to arrive later.) We will have print out-- you will sign, print and notarize there. Note: the notary has to actually watch you and your guardian sign the forms-- so, you cannot bring them "presigned"! Please bring an ID and a mask.

Option 2-- If you cannot bring your parent or guardian to the meeting: Print out all 5 forms below. With your guardian, visit a notary to sign the agreement-- which is the first form. (This could incur a fee.) Also have both you and your guardian sign the remaining forms. Bring all 5 of these signed forms with you to the October 14th meeting.

Option 3-- Mail or drop off in Lakewood: Print out the entirety of all 5 documents below. Take the first one, the Letter of agreement, to a notary and, with your guardian, sign and notarize. Then sign and date the rest of the forms. Double check that you have signed everything correctly. Then either mail (posted no later than Tuesday, 10-19-21) or drop off (no later than Wednesday, 10-20-21) to the following address:

Jefferson County Public Health

Attention: Pamela Gould, Jeffco CTC staff

645 Parfet Street

Lakewood Colorado 80215

A note about vaccinations:

All eligible individuals are strongly encouraged to get vaccinated.

With the recent passage of Public Health Order 21-005, interns may be required to be regularly tested if they are not fully vaccinated in order to participate in in-person events. Please see also FAQs about this public health order. This is all the information Jeffco CTC staff has been provided at this time. We are actively seeking clarification about how or if this will be implemented in relation to this program.

1: Letter of agreement*

letter of agreement for youth research intern 2021-2022 to be signed.pdf

If you are younger than 18, BOTH you and your guardian must sign AND have notarized* this document. If you are 18 or older, you may sign yourself.

Please make sure you understand how and when you will be paid. You will not receive ANY payment for a partially completed internship. You may want to look over this page.

*What does it mean to get it notarized? Watch this video to learn more.

2: Photo Release

JCPH Photo Consent Form

Please circle General Use. If you are younger than 18, your guardian must sign this form, writing in your name as well. If you are over 18, you may sign yourself.

3: Professional Expectations

Professional Expectation 2020-2021

If you are younger than 18, you AND your guardian must sign this form. If you are over 18, you may sign yourself.

4. Confidentiality Agreement

Statement of Confidentiality.pdf

Both you AND your guardian should read and sign this document, even though there is only one signature line.

If you are younger than 18, you AND your guardian must sign this form (even though there is only one signature line). If you are over 18, you may sign yourself.

5: W-9 Tax Form

W9.pdf

CTC Staff members are not allowed to give advice regarding filling out this tax form.

To avoid delays in receiving payment at the end of your internship, please double check that your name and address are correct. Note that your check will be sent to the address used on this form.

Please double check that all your forms are signed-- and that you have included all 5 forms.

Google Sites

Report abuse

Paperwork

Please complete these 5 forms so we can pay you!

How & when will I be paid?

A note about vaccinations:

1: Letter of agreement*

If you are younger than 18, BOTH you and your guardian must sign AND have notarized* this document. If you are 18 or older, you may sign yourself.

Please make sure you understand how and when you will be paid. You will not receive ANY payment for a partially completed internship. You may want to look over this page.

2: Photo Release

Please circle General Use. If you are younger than 18, your guardian must sign this form, writing in your name as well. If you are over 18, you may sign yourself.

3: Professional Expectations

If you are younger than 18, you AND your guardian must sign this form. If you are over 18, you may sign yourself.

4. Confidentiality Agreement

Both you AND your guardian should read and sign this document, even though there is only one signature line.

If you are younger than 18, you AND your guardian must sign this form (even though there is only one signature line). If you are over 18, you may sign yourself.

5: W-9 Tax Form

CTC Staff members are not allowed to give advice regarding filling out this tax form.

To avoid delays in receiving payment at the end of your internship, please double check that your name and address are correct. Note that your check will be sent to the address used on this form.

Feeling like you could use some support?

Confidential Talk Line: Text "TALK" to 38255 or call 1-844-493-TALK (8255) to be connected to a mental health profession at Colorado Crisis Services to talk over anxiety, suicidal thoughts, substance misuse or other issues.

Support for LGBTIA+ youth: Trained counselors are here to support LGBTIA+ youth 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the TrevorLifeline now at 1-866-488-7386.

To talk with someone about sexual assault or relationship violence: Call RAINN at 1-800-656-HOPE.

What you say to someone with depression can change everything. Find out more about mental health and how to help others at #findyourwords

Paperwork

Please complete these 5 forms so we can pay you!

How & when will I be paid?

A note about vaccinations:

1: Letter of agreement*

If you are younger than 18, BOTH you and your guardian must sign AND have notarized* this document. If you are 18 or older, you may sign yourself.

Please make sure you understand how and when you will be paid. You will not receive ANY payment for a partially completed internship. You may want to look over this page.

2: Photo Release

Please circle General Use. If you are younger than 18, your guardian must sign this form, writing in your name as well. If you are over 18, you may sign yourself.

3: Professional Expectations

If you are younger than 18, you AND your guardian must sign this form. If you are over 18, you may sign yourself.

4. Confidentiality Agreement

Both you AND your guardian should read and sign this document, even though there is only one signature line.

If you are younger than 18, you AND your guardian must sign this form (even though there is only one signature line). If you are over 18, you may sign yourself.

5: W-9 Tax Form

CTC Staff members are not allowed to give advice regarding filling out this tax form.

To avoid delays in receiving payment at the end of your internship, please double check that your name and address are correct. **Note that your check will be sent to the address used on this form.**

Feeling like you could use some support?

Confidential Talk Line: Text "TALK" to 38255 or call 1-844-493-TALK (8255) to be connected to a mental health profession at Colorado Crisis Services to talk over anxiety, suicidal thoughts, substance misuse or other issues.

Support for LGBTIA+ youth: Trained counselors are here to support LGBTIA+ youth 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the TrevorLifeline now at 1-866-488-7386.

To talk with someone about sexual assault or relationship violence: Call RAINN at 1-800-656-HOPE.

What you say to someone with depression can change everything. Find out more about mental health and how to help others at #findyourwords

To avoid delays in receiving payment at the end of your internship, please double check that your name and address are correct. Note that your check will be sent to the address used on this form.