APPLICATION :: Download Application   APPLY NOW! Pittsburgh and Allegheny County youth age 13-19 are eligible. If a youth has graduated or dropped out, they are ineligible. There are no income restrictions, however, sometimes we fund student activity with government funds. In those cases, students who are served with those funds have to meet the guidelines as set forth by the funding source. We accept applications throughout the year. Students may submit applications after school hours, Monday-Friday before, 5:00 p.m. There is a waiting list. Other factors are also considered for intake. Parents have to sign the application for it to be valid. The student must have a social security number. If you would rather print and mail an application Download Here. Please dowload application and send to the UYA office.  The online application submission is currently under construction. Application Date: How Did You Hear About UYA? PERSONAL INFORMATION First Name:                    Last Name:   Male       Female Birthdate: Mailing Address: Neighborhood: Family Size: Home Phone: Email: EDUCATION School Currently Attending:                School Phone:        Expected Year of High School Graduation: Grade: Curriculum:                                       Favorite Subjects:        Extracurricular Activities                     Special Skills:        Current Career Goals:                         Plans After High School:        Will any of your extracurricular activities prevent you from full participation in UYA events? Such as after school, occasional evenings and weekend responsibilities? Yes       No If Yes, please explain. EMPLOYMENT INFORMATION Have you ever been employed Yes       No If yes, please complete the following. Employer: Address: Employer Phone Number                          Supervisor's Name        Your Position Duties Second Job Experience Have you ever been employed Yes       No If yes, please complete the following. Employer: Address: Employer Phone Number                          Supervisor's Name        Your Position Duties EMERGENCY INFORMATION First Name:                    Last Name:   Relationship: Mailing Address: Work Phone: Home Phone: Email: Preferred Hospital:                           Family Doctor/Phone: