ReSET Job Training Program Online Application
This is the online application form for the ReSET (Skills Employment Training) Job Training Programs, offered by Finger Lakes ReUse, Inc. (www.fingerlakesreuse.org). Please fill out all required fields. If you have questions about ReSET, or this application, please contact our Community Programs Coordinator at anise@fingerlakesreuse.org or (607) 257-9699.
First Name *
Your answer
Last Name *
Your answer
Current Address (Including, City and Zip Code) *
Your answer
Telephone number *
Please include area code. Please be sure voice mail is set up on cell phones, otherwise chances to interview may be missed.
Your answer
Email Address *
Your answer
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.
Your answer
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.
Your answer
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.
Ethnicity *
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.
Your answer
Household Information
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? *
Your answer
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.)
Your answer
Program Information
How or where did you hear about ReSET? *
Your answer
Which training program are you applying for? *
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