CareerForce Interest Form for the WIOA Adult and Dislocated Worker Programs
Thank you for your interest! These programs have a work/employment focus with a requirement to obtain Full-Time Employment at completion of program. A representative from CareerForce for your service area will contact you with more information upon completion of this form. Once you are enrolled by a CareerForce Representative, you may be transferred to MVAC for Training as applicable.
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First and Last Name
If you answer "YES" to any of the following items OR are interested in more information, please continue filling out this form and someone will reach out to you shortly regarding which programs you may be eligible for! (Income guidelines apply for some programs) Check all that apply
I receive, or am applying for, unemployment benefits
I receive public assistance (SNAP; MFIP; etc )
I lost my job and/or my hours were reduced due to no fault of my own
I want to change careers/obtain a credential/ or am interested in future schooling
I am currently enrolled in an education program (college, a training course, etc)
Date of Birth
What is your full mailing address? (Please include your ENTIRE physical/mailing address- Street; Apartment/Unit Number/Po Box, City, State, Zip. Ex: 12 Civic Center Plaza, Suite 1600A Mankato, MN 56001
To ensure we have your full mailing address, what is your Zip Code?
What are the best ways to reach you? (Choose all that apply)
What services are you interested in?
College/Post-Secondary Education (If you know what type of training, please also select "other" and list your interest area)
What County do you live in?
Do you need an interpreter? If yes, what language
Yes- please list your preferred/needed language on the line below
Additional Comments/Information you feel is important to share. (Please review above questions to be sure you answered them all completely before submitting this form.
These programs have a work/employment focus with a requirement to obtain Full-Time Employment at completion of program.
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This form was created inside of Minnesota Valley Action Council.