FOCUSED Application

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FOCUSED Application

FOCUSED is a 6-weeks paid training program that combines job readiness and professional skill building. Participants will work Monday – Friday from 9:00 AM – 2:00 PM at a pay rate of $17/hr. Upon successful completion of the program, participants will be advanced to SCG HR for job consideration and/or assisted by the Shelby County Office of Re-Entry to find outside employment.

First Name
*

Last Name
*

Gender
*

Male

Female

Gender Queer/Non-Binary

Prefer not to answer

Email *

Phone number *

901-555-5555

Street Address
*

ex. 1234 S. Carr Ave

City *

State
*

Zip Code
*

Please provide your highest level of education. *

Some high school

High school diploma

Some college

Associates Degree

Bachelors Degree

Masters Degree or Higher

Other:

Do you have any experience using a computer? *

Yes, a lot of experience.

I don't have much experience at all.

I prefer not to use a computer.

Do you have suitable/stable transportation on a daily basis? *

Yes

Sometimes

Are you currently employed? *

Yes

Are you currently enrolled as a student at any institution? *

Yes

Do you have any certifications? *

Yes

If you answered yes to the question above, please list the names of the certifications you have below.

Please describe recent employment or volunteer experience.
*

Do you have a criminal history?
*

Yes

Are you a veteran?
*

Yes

Are you available to attend our in-person training program on Monday - Friday from 9:00 AM - 2:00 PM?
*

Frequent late arrivals, early departures, and missed days will result in your removal from the program.

Yes

I Don't Know

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