Once the form is completed, print it out using the button above and fax it to
Sue Biagioni at (401) 462-8722
or
Save it to a file by using the button above and email it Sue at sbiagioni@dlt.ri.gov
Adobe Acrobat 6.0 or greater is required to save the completed pdf form to a file.
YouthWORKS411 Rhode Island Department of Labor and Training
1511 Pontiac Avenue, Cranston, RI 02920