Workforce Application Workforce ApplicationMarch 6, 2023 – march 10, 2023Please enable JavaScript in your browser to complete this form.What's your full name? *FirstLastStreet Address: *Address Line 1Address Line 2CitySelect a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth: *Age: *What is your Gender?ManWomanNon-Binary/ Third-GenderChoose not to discloseOtherYour Gender:What are your pronouns? *He/ HisShe/HerThey/ThemChoose not to discloseOtherYour Pronouns:Phone number: *Email: *Are you currently in school or an alternative educational program? *YesNoHighest level of education completed: *Best days for interview *Please include the best days of the week for the preliminary 30-minute phone interviewBest time for interview: *Please include the best time of the day for the preliminary 30-minute phone interviewDo you have experience making art or building anything? If so, please provide some examples. *Why are you interested in participating in this program? *What do you plan to do with the skills you learn in this program? *The Workforce Program trains participants on how to work safely in an industrial shop and how to properly use the metalworking tools while being apart of a team. Do you have experience being a member of a team? If so, please share an example: *How did you hear about this program? If you were referred to this program please provide name/organization and contact information: *Are you able to perform the physical requirements needed to learn metal working? *YesNoNot sure(for example, able to stand for long periods, lift at least 50 lbs, can tolerate loud noises and flashing lights)100% attendance is expected. Will you be able to attend class all day, every day? *YesNoAre you currently receiving any public assistance? *NoYesFor example: TANF, Food Stamps, SSI, SSA, etc.If yes, please specify: *Are you currently employed? *Full TimePart TimeSelf-EmployedNoIf employed, what is your field of work: *EMERGENCY CONTACT:A family member, friend, teacher, or anyone who will always have a way of contacting you.Name *FirstLastTitle:Relationship to Applicant: *Phone: *Email: *REFERENCE:Not a family member, who can speak about your abilities and interests.Name: *FirstLastTitle:Relationship to Applicant: *Phone: *Email: *Today's Date: *By signing this application, I agree that I have read all of the eligibility requirements to participate and certify that the above information is true and correct to the best of my knowledge. I agree to provide any documentation, financial or otherwise, that confirms the information submitted in this application, upon request. Furthermore, I understand that if accepted into this program, I will be required to notify the Steel Yard of future changes of contact information or employment.Submit