Redefining Empowerment Center Apprenticeship Program – Interest Form
Thank you for your interest in the Redefining Empowerment Center Apprenticeship Program. This form helps us learn more about your background, interests, and availability to ensure we can best support your professional development journey.
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Email *
Full Name *
Please provide your first and last name.
Date of Birth *
Please provide your first and last name.
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/
DD
/
YYYY
Social Security Number 
"Privacy Notice:
Your Social Security Number is collected solely for program eligibility and reporting purposes. All information is securely stored and protected in compliance with applicable privacy and data security standards."
 *
Phone Number *
Enter the best phone number to reach you.
Email Address *
Provide a valid email address for communication.
Address (including city, state, and zip code) *
Which city do you currently live in?
County *
Please indicate the county you reside in.
Age Range *
Select your current age range.
Veteran Status *
Please indicate your military affiliation status.
Do you identify as a parent or caregiver? *
Select the option that best describes you.
Highest Level of Education Completed *
Select the highest level of education you have completed.
Do you currently have any professional certifications or licenses? *
If yes, please specify your certifications or licenses. If you do not have any, place N/A.
Current Employment Status *
Please select your current employment status.
Current Employer (if applicable) *
If you are currently employed, please provide the name of your employer. If you are not employed, place N/A.
Are you seeking *
Select all that apply to your career goals.
Required
Which apprenticeship program are you interested in? *
Select all the apprenticeship programs that interest you.
Required
Why are you interested in this apprenticeship program? *
Tell us more about your motivation for joining this program.
What skills would you like to develop through this program? *
Describe the key skills you hope to gain or strengthen.
Are you able to participate in a hybrid training program (online + in-person)? *
Select your availability for a hybrid model.
Preferred training schedule *
Select all time slots that best fit your availability.
Required
Are you currently receiving workforce or government assistance? *
Select all programs you are currently enrolled in.
Required
Do you have access to a computer or laptop for online training? *
This helps us determine your technology readiness.
Do you have access to reliable internet service? *
Let us know about your internet connectivity.
Would you like to receive updates about other training or apprenticeship opportunities? *
Opt in to receive updates from our program.
Please rate your comfort level with using digital tools (e.g., Zoom, Google Docs). *
Use the scale below to indicate your comfort level with digital tools.
Workforce Training Assistance (OhioMeansJobs)
Apprentices or applicants can contact OhioMeansJobs directly through the statewide customer support line.
Ohio Means Jobs Apprenticeship Initial Assistance: https://ohiomeanjobscolumbus-franklincounty.formstack.com/forms/application_for_services_training_wioa
OhioMeansJobs Customer Service

📞 1-888-296-7541  or 🛜 visit OhioMeansJobs.ohio.gov.

Franklin County Financial Empowerment & Workforce Support::
https://ohiomeanjobscolumbus-franklincounty.formstack.com/forms/application_for_services_training_wioa (Select: Adult Training or Other)

This number connects individuals to assistance with:
• Creating an OhioMeansJobs account
• Finding local OhioMeansJobs centers
• Getting help with WIOA workforce training funding
• Job search support
• Resume and career services
• Training and apprenticeship referrals

TTY (Hearing Impaired)

📞 1-877-644-6562


What Your Apprentices Should Say When They Call

You can give participants this simple instruction:

“Hello, I’m interested in workforce training assistance through OhioMeansJobs. I am applying for the Redefining Empowerment Center Apprenticeship Program and would like to know if I qualify for WIOA or other training support.
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