Please include area code. Please be sure voice mail is set up on cell phones, otherwise chances to interview may be missed.
Email Address *
Which is the most reliable way to get a hold of you? *
Birth Year *
We accept applicants 16+. We do not descriminate based on age. The question is for demographic purposes.
What are your preferred gender pronouns? *
ex. She/her/hers, They/them/theirs, He/him/his. We ask only so that we have a sense of how you would like us to refer to you.
Because we receive Federal funds for this program, the following information must be collected and is intended solely for record keeping, and to help identify additional resources that can assist you in your return to work. Your answers will be kept confidential.
Note: This next section is voluntary. This information will be kept confidential and is intended solely to help identify additional resources that can assist you during this training. You will not be penalized for refusal to answer.
Are you a person with a disability or physical limitation?
Do you require any accommodations for your disability or physical limitation?
Please describe below.
The following information is to gauge your general income levels as this program is geared to individuals with low to moderate income.
How many people live in your household? *
During the past 6 months, what was your household's gross income (before taxes/deductions)? *
$______ (This number can be a rough estimate if you do not know your exact gross income.)
How or where did you hear about ReSET? *
If the applicant is filling out this application with human services provider, please include name, organization name and contact info of the service provider.
Do you have experience with incarceration (jail or prison)? *
This question is only asked for records purposes. No one will be treated differently or denied access to ReUse programs because of criminal history.
Which training program are you most interested in? *