Request edit access
Light House Workforce Development Training Program Application
This program is an eight (8) week, in-person program to assist participants in achieving their employment goals by overcoming personal and professional barriers . The curriculum is tailored to focus on personal development and life skills, resume writing, interview preparation, and employment search with the option to apply for gainful employment at the Light House's Social Enterprise - Light House Bistro.

The following is a list of program eligibility requirements for the Light House Workforce Development and Culinary Training Programs.
The applicant must:
- Be at least 18 years of age.
- Be committed for two (2) months, for 20 hours per week:
➔  In-person personal development and soft skills training, Monday - Wednesday 8:00am to 12:00pm, plus career development workshops Wednesday and Friday 1:00pm to 3:00pm
➔ Meet with an Employee Advocate and Life Coach a minimum of twice per week.
- Not have a conviction of a violent felony within the last 7 years, a crime against a child or sexual assault, or outstanding arrest warrants.
- Be drug and alcohol free and willing to undergo random drug screenings throughout the training.
- Be committed to securing full-time employment after training.

A background check will be conducted on every applicant applying for the Program. False statements on this form may be subject to federal prosecution for perjury.

Individuals who have met all eligibility requirements above will go through an interview and screening process. Program graduation is based on successfully meeting all program requirements, including but not limited to, completion of assignments, punctuality, and attendance.

Sign in to Google to save your progress. Learn more
Email *
First, Middle and Last Name *
Please enter your current address. (Include the Street, City, State and Zip Code) *
Date of Birth *
MM
/
DD
/
YYYY
Please provide your full Social Security Number. *
Phone Number *
Is The Light House able to text you at the number provided? *
Please select the start date you are interested in. Please note that this Program is ongoing. If you miss the first week of classes, you will be able to take them the next time they are offered. *
What is your housing situation, right now? *
Have you ever received services from The Light House? *
Are you a United States Citizen? *
Are you a Military Veteran? *
Please provide the highest level of education you have obtained: *
Do you have any of the following devices? Check all that apply. *
Required
How comfortable are you using devices; smartphone, tablet, laptop? *
Required
Do you have access to a reliable connection to the internet? *
Required
Are you interested in pursuing a career in the culinary field? *
Required
Are you currently employed? *
Required
Are you currently receiving Unemployment Benefits? *
Required
Are you looking for full-time work? *
Required
Are you currently receiving SNAP (Food Stamps)? *
Required
Are you currently receiving TANF or TCA? *
Required
Please identify any characteristics and barriers you are currently facing: (Check all that apply.) *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Light House.

Does this form look suspicious? Report

Google Forms