Application for Lift HI Foundation Training
We are so happy you are interested in applying for training with Lift HI Foundation!  This application form should take no more than 5-10 minutes to complete.  We will be in touch with you no more than 3 business days after we receive your application.  

You can check our website - www.lifthi.org - for more information about us and our upcoming trainings dates!   

Don't let anything get in your way of getting in touch with us.  If you have any questions or concerns, please call or text Lift HI Foundation at 808-583-7418 or email us info@lifthi.org.  We look forward to talking to you soon!  
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First Name *
Last Name *
Name you prefer to be called
Mobile Phone Number (Area Code & Phone Number) *
Email Address *
Mailing Address (Street & Apt, City, Zip Code) *
How do you prefer to be contacted?   *
How did you hear about our training program? Please be specific.   *
Are you currently working (employed or self-employed)?   *
Have you worked in the last 12 months (employed or self-employed)?   *
Please select the job title that most accurately describes your current/most recent job.  
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I currently fall into the following age range: 
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Do you have a high school degree or high school equivalent degree (e.g. GED)? *
Have you taken any college level classes after high school or getting your GED? *
Do you have the legal right to work in Hawai'i?  *
My total household income (including wages, self-employment income and government assistance) earned by ALL individuals living in my household, BEFORE TAX is... *
Do you or someone in your household currently receive government assistance such as SNAP, TANF, Section 8, and/or rent or utility payment assistance (LIHEAP)? *
My household (the people I live with on a day-to-day basis) has:  *
My racial background is...(Check all that apply) *
Required
Do you have experience with caregiving? (Check all that apply.)  *
Required
Is there anything else you would like to share?   *
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