Training Assistance Portal

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Training Assistance Portal

Choose Your Career Path:*
Please indicate which sector or specific training program that interests you. You will receive a follow-up email for your choice.
Name:*
First
Name*
Last
Email:*
Cell Phone (area code)*
Home Phone? ( same as cell)
Street Address*
City of Residence: (choose one)*
Zip Code:*
Date of Birth (MM/DD/YYYY):*
MM slash DD slash YYYY

Must be at least 18 years old.
Age:*
Please enter a number from 18 to 99.
Gender:*
What is your race/ethnicity?Check all that apply.*
- Black or African American
- Asian American
- Hispanic, Latino or Spanish Origin
- Caucasian
- Native American or Alaska Native
- Pacific Islander or Native Hawaiian
- Choose not to answer
Are you a U.S. military veteran? "Choose one, etc"*
Is your spouse either an active member of the U.S. military or a veteran? "Choose one"*
Do you have a disability? This may be a physical, mental or other documented disability. Auxiliary aids are provided upon request.*
Number of Children in Your Household Under 18: (Please enter a number from 0 to 6)*
Please enter a number from 0 to 6.
Please List Ages for Any Children Under 18 (For Example: 2, 4, 6):
What is your current employment status?*
Have you received a lay-off notice?
Are you currently receiving Unemployment compensation?
If you are working, please enter your hourly rate of pay. For example, 15.00:
If your current job is temporary, enter your end date (MM/DD/YYYY):
MM slash DD slash YYYY
Current school status:*
Highest grade completed:*
Have you received Job Training or Placement assistance from Workforce Alliance or the American Job Centers in the last 2 years?*
- Yes
- No
Are you a U.S. citizen and able to work in the United States?*
- Yes
- No
If no, please answer the next question.
If you are NOT a citizen, can you provide documentation that you are eligible to work in the United States?
- Yes
- No
FOR PLANNING PURPOSES ONLY. Your answers to the next 2 questions DO NOT affect your eligibility. Do you have unlimited access to a computer or laptop?*
- Yes
- No
Do you have access to reliable internet in your home?*
- Yes
- No
How did you hear about us?*
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WORKFORCE ALLIANCE MAIN OFFICE

NEW HAVEN: 370 JAMES STREET, NEW HAVEN, CT SUITE 401
PHONE: 203.867.4030
REQUEST VOICE/TDD SERVICE BY CALLING: 203.624.1493 EXT. 210
WORKFORCE ALLIANCE CAREERS » REQUEST FOR PROPOSALS »

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AMERICAN JOB CENTERS

NEW HAVEN: 370 JAMES STREET, NEW HAVEN, CT 06513 SUITE 404| PHONE: 203.624.1493
MERIDEN: 87 WEST MAIN STREET (2ND FLOOR), MERIDEN, CT 06451 | PHONE: 203.238.3688
HAMDEN: 37 MARNE STREET, HAMDEN, CT 06514 | PHONE: 203.859.3200
MIDDLETOWN: 398 MAIN STREET, MIDDLETOWN, CT 06457 - - PHONE: Office:860.200.6815

Office Hours

NEW HAVEN:
MONDAY-FRIDAY, 8:30 AM – 4:30 PM

MERIDEN:
MONDAY – FRIDAY, 8:30 AM – 4:30 PM

HAMDEN:
MONDAY-FRIDAY, 8 AM – 4:15 PM

MIDDLETOWN:
MONDAY-WEDNESDAY -THURSDAY, 8:30 AM – 4:30 PM

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