Youth Referral

Please use this referral if you are a youth (15-24) or know of a youth that is interested or may be a good fit for our upcoming programming geared towards exploring the maritime industry. We offer fun and life changing experiences with wraparound support services and career/education guidance. Once a referral is submitted, our youth program staff will reach out for further engagement, connection, and possible enrollment.

First Name*

Middle Initial

Last Name*

Date of Birth*

Email Address*

Phone Number

Zip Code*

Gender*

Race/Ethnicity (check all that apply)* Race/Ethnicity (check all that apply)* Black/African American African Asian Hawaiian/Pacific Islander Hispanic/Latinx Native American White Other

Primary Language Spoken at Home*

Current Grade Level*

Current School*

Referring Agency/Person*

Referring Name (First, Last)*

Referring Email

Referring Phone

Date of Referral*

Comments on Youth Referred

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Contact

Email: info@maritimeblue.org

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Youth Maritime Collaborative

Where Opportunity Sets Afloat

Guiding youth toward adventurous careers in the maritime industry through paid internships, experiential learning events, and thoughtful career exploration with a specific focus on equity and inclusivity.