2025 IBT Application
Thank you for your interest in joining GRID Alternatives' IBT Program
If you haven't already, please click here to view this Informational Slideshow before continuing with the application.

Please fill out this application in full.  A team member will contact you within the next 1-2 weeks
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First Name/ Nombre *
Last Name/ Apellido *
Sex/Sexo *
Gender/género *
How do you self-identify? (Please select one response) /  ¿Cómo te identificas? (Selecciona una respuesta): *
Birthdate/fecha de nacimiento *
MM
/
DD
/
YYYY
Email Address/ dirección de correo electrónico *
Phone Number/ número de teléfono *
What are the last four digits of your SSN? *
Street Address/ dirección postal *
Please enter your residential address for eligibility purposes.
City *
Zip Code/  código postal *
If you were referred by anyone please provide their name here:
*
What is your housing status?  Que es tu estado de vivienda? *
Have you or anyone in your immediate family been impacted by the criminal justice system?/ ¿Usted o alguien de su familia inmediata ha sido afectado por el sistema de justicia penal?
*
*We have some programs that support people impacted by the criminal justice system. This question is not a disqualifier. /  Tenemos algunos programas que apoyan a las personas afectadas por el sistema de justicia penal. Esta pregunta no es un descalificador.
If you answered "yes" to the question above, please explain./ Si respondió 'sí' a la pregunta anterior, por favor explique
Have you or your spouse ever served in the military? /¿Has servido tú o tu cónyuge en las fuerzas armadas?
*
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