Getting Ahead Interest Form
Thank you for your interest in our Getting Ahead in a Just Gettin' by World investigative group. This group will meet twice per week for 8 weeks for a total of 16 sessions. Individuals in this group will investigate poverty in their own lives and in the community to find realistic solutions to start getting ahead instead of just gettin' by.

Participants will be paid $25 per session (paid weekly). Transportation and childcare assistance is available. Once your application is submitted you will be contacted for an initial interview to determine eligibility. If you have further questions, please contact Amanda Davis at 423-472-4414. We look forward to talking with you more!
Email address *
Name *
Your answer
SS Number (Last 5 Digits) *
Your answer
Date of Birth *
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Age
Your answer
Address *
Your answer
Phone number *
Your answer
Email
Your answer
Are you currently working? (mark what applies best) *
Required
What is your current household income? *
Your answer
What is your current personal income? *
Your answer
Relationship Status (mark all that apply) *
Required
Do you have reliable transportation to attend this course? (this does not affect your eligibility) *
If yes, what type of transportation
Do you have children in your household? *
If yes, what are their ages?
Your answer
Will you need childcare for your children in order to attend?
How did you hear about the program? (all that apply)
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