Application for Women's Program
Application requires a $35 processing fee and additional paperwork. We will call you on or after 7 Jan 19 to complete application requirements.
Email address *
Personal Contact Information
Best Phone Number *
Your answer
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Marital Status *
Street Address (include apartment number)
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
PO Box if Mailing Address
Your answer
City
Your answer
Zip
Your answer
Emergency Contact Information *
Your answer
Name of Contact *
Your answer
Best phone number of contact *
Your answer
Relationship to you *
Your answer
Educational Information - select one option
My highest completed education is: *
Work Information & Preferences
Work information - check all that may apply *
Work preference - check all that may apply *
Required
Additional Questions
Do you attend church? If so, name please. *
Your answer
How did you hear about CJC's Women's Program? *
Your answer
What personal goals do you want to get out of this program? *
Your answer
Additional info you want us to know.
Your answer
I am committed to attend all classes to complete this program: *
Christian Job Corps of Kendall County
c/o Boerne Family Y.M.C.A.
820 Adler Rd.
Boerne, TX 78006
830-331-9916 cjc@cjcboerne
A copy of your responses will be emailed to the address you provided.
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