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NextJob Chicago - Application Form
Thank you for your interest in Association House of Chicago's online job-readiness program. Please fill out the form below, and a staff member will reach out to you with more information.
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* Indicates required question
First and Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Please select one:
*
I am a Chicago Resident
I am a Cook County Resident
I live outside of Cook County
What is your highest education level?
*
High School Diploma or GED
Associate's Degree
Bachelor's Degree
Other:
Do you have access to any of the following?
*
Smart Phone with Webcam
Chrome Book or Laptop with Webcam
Tablet with Webcam
None of the Above
Other:
Required
NextJob often uses Zoom as a virtual classroom. Are you familiar with Zoom and know how to use it?
*
Yes
No
Somewhat
NextJob participants attend 2-hour sessions, 4 days a week, for 3 weeks. Can you commit to this training schedule?
*
Yes
No
Please select your preferred class time:
*
From 10am to 12pm
From 1pm to 3pm
Other:
Required
Are you currently enrolled in any other training programs?
Yes
No
Clear selection
Are you eligible to work in the US?
*
Yes
No
Please list any recent work history
Your answer
What are you hoping to gain from this program?
*
Skills for securing employment
Skills for transitioning into a new job
Professional Development
Other:
For male applicants, did you register for selective service between the ages of 18-25?
(To check go to: sss.gov/verify)
*
Yes
No
How did you hear about the NextJob Program?
*
Association House of Chicago website
Facebook
Google Search
Family or Friend
Other:
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