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Search:
SEARCH
Home
Job Seekers
American Job Centers
Job Seeker Orientation
Training Assistance
Community Partners
Health Careers Advancement Program
Skill Up For Manufacturing
Hospitality Careers Initiative
Jobs First Employment Services
Recovery Works
Next Steps for Ex-Offenders
Business Services
BUSINESS SERVICES
Recruitments & Job Postings
Business Sector Specialists
Skill Up for Employers
Youth and Young Adults
Project CEO
Young Adults Ages 16-24
School Based Programs
Youth Committee, Partners and Service Providers
Summer Youth Employment
Calendar
South Central Region
South Central Region
South Central Partners Network
Regional Plan & Board of Directors
Staff Directory
Success Stories
Workforce Alliance Careers
RFP
RFQ
Updates
News & Podcast
Annual Report/ Client Success Booklet
Skill up for manufacturing form
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Skill up for manufacturing form
Complete this form to apply for Skill Up for Manufacturing. You will receive an EMAIL with important information about next steps.
You may also be contacted by phone or text by Workforce Alliance staff.
All data is confidential.
Name
*
First
Last
Email
*
Cell Phone (or Primary Phone)
*
Home Phone (Optional)
City of Residence* (CT Only)
Zip Code
*
ZIP / Postal Code
Date of Birth
*
MM slash DD slash YYYY
Employment Status
*
Employed
Part Time - Employed
Unemployed - Receiving Unemployment Insurance
Unemployed - NOT Receiving Unemployment
If Employed, How Many Hours Per Week?
If Employed, What is Your Hourly Wage?
Temporary Hire?
Yes
No
If Temporary, Enter End Date
MM slash DD slash YYYY
Currently Enrolled in School?
*
Yes
No
Highest Grade Completed
*
8th Grade
9th Grade
10th Grade
11th Grade
High School Diploma / GED
Trade or Technical School
Some College
Bachelors Degree
Some Post-Grad
Masters Degree
PhD or Other Doctorate
Describe Any Vocational or Mechanical Training
Was Your Previous Training Through American Job Centers?
Yes
No
Any Prior Manufacturing Experience?
*
Yes
No
If Yes, Explain
Gender
*
Male
Female
Choose not to respond
Race/Ethnicity
*
Black or African-American
Asian-American
Hispanic, Latino or Spanish Origin
Caucasian
Native American or Alaska Native
Pacific Islander or Native Hawaiian
How did you hear out about Skill Up?
*
American Job Center Staff, flyer or email
School or Community Agency
Website Search or Ad
Social Media (ex. Facebook, Twitter, Linkedin)
News Story (print or broadcast)
Current Skill Up Participant
Eastern CT Manufacturing Pipeline website (ewib.org)
New Haven Manufacturers Association
Prospective Employer
Please Indicate Your Preferred Training Location:
*
Gateway Community College, New Haven
Middlesex Community College, Middletown
Either
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