Employment Application

First Name: * Required

Last Name: * Required

Gender: * Required

Date of Birth: * Required

Do you have a disability? * Required

Street Address: * Required

City: * Required

Zip: * Required

Cell Phone: * Required

Email: * Required

Are you currently employed?

If yes, where are you currently working

If yes, what is your current position:

If working at time of enrollment, are you a freelancer or contractor?

If you are currently working, what sector are you working in?

If yes, what is your current hourly/salary pay rate:

What is your highest level of education? * Required

Are you enrolled in Post High School Education Program * Required

What is your approximate household income * Required

Are you currently receiving any Federal Assistance * Required

Race: * Required

Ethnicity: * Required

If other Ethnicity, specify

Place of Birth * Required

Language Spoken (Preferred Language) * Required

Sexual Orientation:

I am interested in taking a computer/digital skills course. * Required

Are you participating in additional education or training * Required

I am prepared for a job interview * Required

I have an appropriate resume to apply for a job * Required

I have an appropriate cover letter to apply for a job * Required

I am confident about interviewing for a job position * Required

I am confident about taking an online employment assessment for a job position * Required

I am confident about my verbal communication skills * Required

I am confident about writing work-appropriate emails * Required

I am confident about filling out employment paperwork * Required

I have a good understanding of my personal finances * Required

I feel confident in my computer/digital skills. * Required

Read here about OYC: Participant Consent Form

Job Assistance/Training Consent Form * Required

Job Assistance/Training Consent Form Date * Required

Read here about OYC: Authorization for Photography/Video

Authorization for Photography/Video * Required

Authorization for Photography/Video Date * Required


Please wait while the page loads. Do not click the back button on your browser. Job Assistance/Training Program Application First Name: * Required Last Name: * Required Gender: * Required Date of Birth: * Required Do you have a disability? * Required Street Address: * Required City: * Required Zip: * Required Cell Phone: * Required Email: * Required Are you currently employed? If yes, where are you currently working If yes, what is your current position: If working at time of enrollment, are you a freelancer or contractor? If you are currently working, what sector are you working in? If yes, what is your current hourly/salary pay rate: What is your highest level of education? * Required Are you enrolled in Post High School Education Program * Required What is your approximate household income * Required Are you currently receiving any Federal Assistance * Required Race: * Required Ethnicity: * Required If other Ethnicity, specify Place of Birth * Required Language Spoken (Preferred Language) * Required Sexual Orientation: I am interested in taking a computer/digital skills course. * Required Are you participating in additional education or training * Required I am prepared for a job interview * Required I have an appropriate resume to apply for a job * Required I have an appropriate cover letter to apply for a job * Required I am confident about interviewing for a job position * Required I am confident about taking an online employment assessment for a job position * Required I am confident about my verbal communication skills * Required I am confident about writing work-appropriate emails * Required I am confident about filling out employment paperwork * Required I have a good understanding of my personal finances * Required I feel confident in my computer/digital skills. * Required Read here about OYC: Participant Consent Form Job Assistance/Training Consent Form * Required Job Assistance/Training Consent Form Date * Required Read here about OYC: Authorization for Photography/Video Authorization for Photography/Video * Required Authorization for Photography/Video Date * Required Please leave this checkbox blank