Career STEP Application
Please complete this information in its entirety. Your application may be rejected if your application is incomplete or the information is inaccurate. By submitting the application, you attest that the information is, to the best of your knowledge, complete and accurate. Please send in the required verifications to your Career Coach as indicated below.

*** AFTER YOU COMPLETE THIS FORM --> PLEASE SEND IN THE FOLLOWING INFORMATION ASAP:   
  1. A COPY OF YOUR STATE ISSUED ID 
  2. A COPY OF YOUR SNAP/TANF APPROVAL LETTER (Only if you receive these benefits)
  3. A COPY OF EACH CHECK STUB RECEIVED FROM 01/01/2024 TO PRESENT FOR EVERYONE IN THE HOUSEHOLD
  4. A COPY OF THE FIRST TWO PAGES OF YOUR MOST RECENT FEDERAL TAX RETURN
  5. PROOF OF RELATIONSHIP FOR YOUR CHILD/CHILDREN
  6. COPY OF YOUR RESUME
Please send in the above information as soon as possible to your local Career Coach listed below. 
Deano Harrison: MGCCC, Singing River Health Systems, Memorial Hospital, Grove Healthcare, and all other Jackson, George, Stone or Harrison County Students may turn in required verifications using this secured share link:  https://secure.virtru.com/secure-share/sharing/dharrison@smpdd.com?utm_source=secure.virtru.com&utm_medium=hyperlink&utm_campaign=inbound_share&utm_content=textlink
PRCC students may turn in required verifications to: Melissa Hopkins via email to mhopkins@prcc.edu
ECCC  students may turn in required verifications to: Levar Robinson via email to lrobinson@eccc.edu
Keshia Clark: JCJC, MCC & Exclusive Cuts students may turn in required verifications by following this link: https://secure.virtru.com/secure-share/sharing/keshiaclark@smpdd.com?utm_source=secure.virtru.com&utm_medium=hyperlink&utm_campaign=inbound_share&utm_content=textlink or to keshiaclark@smpdd.com

****Processing applications for Career STEP can take some time, please be patient during this process. Career STEP will communicate primarily via email, so please be sure to check for updates regularly.**** 

Kacie Brown
Career STEP Program Administrator
cassandrabrown@smpdd.com
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Email *
What is your Social Security number? (no dashes, numbers only) *
Legal First & Last Name *
Preferred Name *
What is your date of birth? *
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What is your phone number? *
Which county do you live in? *
What is your gender? *
What is your parental status? *
What is your employment status? *
Do you receive any of the below benefits? *
Required
Did you graduate high school? *
If you do not have a High School Diploma or its equivalent, what is the highest grade you completed?
How many people are in your household? *
List the NAME, AGE & RELATIONSHIP of EACH PERSON living in your household. *
What is your annual household income? *
Do you have a permanent residence? *
What is your house number and street name? *
What is your city, state and zip code? *
What is your worker status? *
Are you Hispanic or Latino? *
How do you identify yourself? *
Are you a veteran of the U.S. Armed Forces? *
Are you disabled? *
Who is your most recent employer, and where are they located? *
What was your most recent job title? *
List the start date AND end date of your most recent employment. If you are currently employed you MUST enter your start date. *
At your current or most recent employer, what is/was your HOURLY WAGE? *
Do you have a Resume? *
Do you have a Cover Letter? *
If your mailing address differs from your physical address, please list it here. (Include house number, street, city, state, and ZIP code.)
If you have an alternate phone number, please list it here.
What is your email address? *
Do you have a driver's license? *
Do you have limited English proficiency? *
What is your primary language? *
Have you previously earned a training certificate from a college, college credits or a college degree? *
Required
If you answered "Yes" to the above question, please include more information about your certificate or degree. (What type of certificate or degree is it?)
What is the NAME, START DATE and COUNTY of the class your enrolling in? *
What college are you interested in attending? *
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