Building Skills NY General Form

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Thank you for your interest in Building Skills NY. Visit us at https://buildingskillsny.org/ to learn more about us.

All of BSNY's program offerings require participants to complete this form. Please complete the form below. Upon completion you will receive follow-up communication from our BSNY staff on next steps or additional forms needed. You must provide an email address to receive further communication.

BSNY is pleased to offer construction job placement services and a job training program known as our Construction Career Accelerator (CCA). All our programs are offered at no cost to eligible participants.

Form ID: GEN-1

Email *

1. In order to be eligible for any of our programs you must meet these minimum requirements:

- Be 18 years or older.
- Live within NYC (Manhattan, Brooklyn, Queens, The Bronx, Staten Island).
- Have a valid US social security number and are authorized to work in the USA.

Please do not complete the form if you do not meet the minimum requirements for our offerings.

Yes I meet these minimum requirements.

No, I do not meet the minimum requirements.

2. Please check off all that apply.

I am signing up for:

Construction job placement services.

I want to learn more about BSNY's construction training classes (CCA).

I am enrolling in a BSNY construction training class (CCA)

Other:

Required

3. Your full name *

4. Your current cellphone number *

6. Your current zipcode *

7. Your current full address where you live

8. What is your current residential status? *

Private apartment/house

NYCHA housing (not on lease)

NYCHA housing (listed on the lease)

Shelter or supportive housing

Other:

9. If you are a NYCHA resident on the lease, please list your development name (example: Roosevelt Houses)

10. Your date of birth in MM/DD/YYYY format.

(Example: January 7, 1980 = 01/07/1980)

11. Last 4 numbers of your U.S. Social Security Number *

12. How did you hear about BSNY? *

13. Current valid, unexpired construction certifications you have: *

I do not currently have any construction certifications

OSHA 30

SST-10 hr

Flagger

NYCDOB Scaffolding 4 Hour

NYCDOB Scaffolding 16 Hour

NYCDOB Scaffolding 32 Hour

F-60 (fire guard)

S-92

S-93

S-94

G-60 torch use

Silica awareness

16 hour Rigging

32 hour Rigging

Forklift

Welding

NYS driver license

CDL License

SST 62

Other:

Required

14. Your most recent job title/position, and last day of work, if applicable. Example: Cashier April 2024

If you have never had a paid job, please enter N/A or None.

The following questions are OPTIONAL and do not impact your eligibility for any of our programs:

15. What is your gender?

Male

Female

Non-binary

Prefer not to say

Other:

Clear selection

16. Are you a US Veteran? (Served in the US military, naval, air, or space service)

Yes

Clear selection

Send me a copy of my responses.

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