You Saved Me Foundation's Career Equity for Justice Impacted Individuals Program

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The career Equity for justice Impacted Individuals Program offers individuals with criminal records access to vital services:

Full scholarship for Google Professional Career Certification
Free weekly Food pantry
Free Monthly Pet food Pantry
Free online Financial Literacy courses
Free Opioid Overdose Prevention Training
Free Baby Diapers & Baby wipes
Free Feminine Hygiene products

*Career Training can be completed in three to six months depending on a 10 or 20 hour week commitment. Resources are available immediately.

电子邮件地址 *

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Phone Number *

Which Google Course would you like to register for? *

Google UX Design Certificate

Google Data Analytics Certificate

Google Project Management Certificate

Google IT Support Certificate

Associate Android App Developer

E-Commerce & Social Media Marketing Professional Certificate

Which Free Support Services would you like to have added to your Equity Program Membership? Check all that apply. Certain programs distribute weekly and others monthly. *

Food Pantry (Care Pantry Program) (weekly)

Pet Food Pantry (More Than A Pet Program) (monthly)

Feminine Hygiene (weekly)

Baby Diapers, Pull-Ups, & Wipes (Fresh Family Program) (monthly)

Narcan (Opioid Overdose Prevention Program)

Online Financial Literacy Courses (offered online)

必填

Do you identify as a part of any of the groups below? *

Minority

Diverse Ethnicity

Disabled

US Veteran

Low Income

Justice Impacted (Any Prior Criminal History)

Pre-Release

Recently Released

必填

Which best describes your Race/ Ethnicity? *

Asian/Pacific Islander

Black/ African American

Caucasian/ White

Hispanic/Latino

Indigenous/ Native American

Are you 16 years old or older? *

Yes

How old are you? *

Income Questions

Monthly Income *

$5000 +

$500 -$1000

$0- $500

$1000- $2500

$2500 - $5000

Which best describes your joint Household income? *

My Household Income is Less Than $72,900 a year.

1 Person making less than $72,900 a year

2 People making less than $83,300 a year

3 People making less than $93,700 a year

4 People making less than $104,100 a year

5 People making less than $112, 450 a year

6 People making less than $120,800 a year

7 People making less than $129,100 a year

8 People making less than $137,450 a year

My household income exceeds the options the above.

What is the Applicant's income? If no Income answer with 0. *

List all Household Members Name, Birthdate, Relationship and Race (Ex. Jose Chavez, 10/23/1988, Son, Hispanic). If you are the only member type none. *

Do you belong to any of the following groups? *

Single Parent

Student

US Veteran or Military Family Member

Immigrant/Migrant

Refugee

Prior Criminal History

Did not complete High school

必填

Are you willing to commit 10 or more hours a week to complete the Digital Skills Career Course? *

yes

必填

Are you willing to complete periodic progress reports (a. short summary on the programs benefits, and your progress) during the course and six months after completion? And agree to complete the course and follow all guidelines and rules of the program? *

yes

必填

Please Type Your Name Below as Your Signature *

Your Birthdate *

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