Successful Transitions Employment Program (STEP) Participant Application
A DC Department of Employment Services (DOES) Program
Successful Transitions Employment Program (STEP)
Must be women currently residing in the District of Columbia age 20 and above.
Must be formerly incarcerated and/or justice involved.
Applicants will be notified of enrollment 1-3 weeks prior to cohort start date. Completed application does not guarantee program enrollment. Participants must provide eligibility documents and attend orientation session to confirm enrollment.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Street Address *
City and State *
Zip Code *
What is your age? *
What DC ward do you reside in? *
Primary language/communication preference. *
Please indicate what program eligibility documents you can provide (check all that apply): *
Required
Do you have a District of Columbia DMV issued Drivers or Non-Drivers license (valid or expired is acceptable)? *
Name of most recent prison or facility of incarceration. (if applicable)
Date of most recent release.
MM
/
DD
/
YYYY
Are you currently on probation? *
Do you currently have a pending charge, warrant or court date? *
Please indicate if you currently receive any of the following benefits. (check all that apply) *
Required
Please indicate your highest level of education. *
Are your currently employed? *
Please indicate which industry you are interested in working. (check all that apply) *
Required
Do you feel you can pass pre-employment drug and alcohol screening? *
Please indicate what method of transportation you will use to get to work if offered a position. (check all that apply) *
Required
Do you have a valid drivers license? *
Please indicate what locations you are able to work in. (check all that apply) *
Required
Please state one short term job/career goal. (A goal you would like to achieve in the next 6 months) *
Please state one long term job/career goal. (A goal you would like to achieve in the next 3 years) *
How did you hear about this program? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report