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Workforce Programs Interest Form
Name
(Required)
First
Middle
Last
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Date of Birth
(Required)
MM slash DD slash YYYY
Race
(Required)
Please Select
African American
Asian/Pacific Islander
Caucasian
Native America
Two or more races
Do you identify as Hispanic/Latino/Latinx?
(Required)
Please Select
No
Yes
Gender
(Required)
Please Select
Female
Male
Non-Binary
Other
Transgender
Are you a veteran?
(Required)
Please Select
Yes
No
Are you legally eligible to work in the U.S.?
(Required)
Please Select
Yes
No
Are you receiving public assistance?
(Required)
Please Select
Yes
No
Do you have a valid driver's license?
(Required)
Please Select
Yes
No
Do you have access to a vehicle?
(Required)
Please Select
Yes
No
Are you currently employed?
(Required)
Please Select
Yes
No
Who is your employer?
(Required)
What do you do for work?
(Required)
Highest level of education you've completed?
(Required)
Please Select
Less than 10th Grade
10th/11th Grade
High School Diploma/GED
High School Diploma with College
Associate's Degree
Bachelor's Degree
Master's Degree or Above
Are you a union card holder with a construction building trade?
(Required)
Please Select
Yes
No
Are you an apprentice OR a journey person?
(Required)
Apprentice
Journey Person
Neither
What period is your apprenticeship?
(Required)
in years
Are you a current or former student of either of the following schools? Select all that apply.
Community College of Philadelphia
School District of Philadelphia Public Schools
SDP Charter School
You Selected SDP Charter School - Please Specify Which One
(Required)
Program of Interest
(Required)
Carpenters' Apprentice Ready Program (CARP; Carpentry)
FTI VIP (Finishing Trades, High Schoolers)
Mentoring Young Women In Construction (MyWIC) Camp (All Trades Camp, Middle / High Schoolers)
Rosie’s Girls (Electricians, High Schoolers)
Sam Staten Senior Pre-Apprenticeship Program (Laborers and Other Trades)
Women in Nontraditional Careers Trades Readiness Program (WINC TRP; All trades)
I already completed/graduated from a trades program
Other
What is the name of the trades program that you completed/graduated from?
(Required)
Are you seeking additional support from Everybody Builds?
(Required)
Yes
No
You Selected Other Program of Interest - Please Specify
(Required)
Would you like to be added to our mailing list and notified of events and news?
Yes
No
Untitled
First Choice
Second Choice
Third Choice
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