STEP Interest Form
Thank you for your interest in joining STEP. If you haven't already, please visit our website at tillamookbaycc.edu(update URL) for more information about what the program offers. Please complete this form and you will be contacted as soon as possible when there is an available space in the program.
Email address *
Your answer
I understand that I may only fill out an Interest Form for myself, and may not complete this form on anyone else's behalf. *
Required
Full Name (first and last) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Phone *
Your answer
Please indicate which STEP services you would like to enroll in: *
Required
STEP is a program for SNAP (food stamps) recipients. Are you currently receiving SNAP benefits? *
Will you be able to work upon completing your program? *
Do you have any other comments or questions about submitting your application? *
Your answer
Statement of Certification: I certify that the information provided in this document is true and complete. *
Please type your full legal name in the space below
Your answer
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