Heart of Texas Goodwill Google IT Support Certificate Application
Please fill out the application below. For questions, contact Jehree Anderson at 254-339-0191 or
Primary Phone Number
Which Job Connection is closest to you?
Why are you interested in the Google IT Certification Scholarship Program?
How will the Google IT Certification Scholarship Program help you in your current or future employment?
What type of experience do you have with computers? (e.g. Email, Internet, Microsoft Suite, Software, Programming, Coding, Website Design, etc.)
As part of the program requirements, scholars will be working with Goodwill Staff to obtain IT positions or advance their current employment. If you have employment history, please attach a resume to your application. If you have no employment history, please explain a little more about your education or community involvement (e.g. volunteer work, academic clubs, honors society, etc.)
How did you hear about this program?
If enrolled in the program are you willing to have open communication with Goodwill staff, allow them to contact you on a regular basis, and provide updates on your progress? If no, please state why:
Please check the box with the highest level of education you have completed:
2 Year College
4 Year College
Please list any honors, licenses, awards or certificates that you have
If enrolled in the program are you willing to attend the required 8-10 hour weekly classroom training, workshops and appointments? If no, please state why:
Are you available to participate in the program anytime during the week?
If no, mark an “X” in the box of days and times you are NOT available each day
Do you have reliable transportation?
Have you ever been convicted of a crime?
By signing this application I am certifying that all the information given above is true and complete. I understand, in the event of program acceptance, any false or misleading information can result in discharge from the program.
*Be sure to attach the following: Resume and 2 Letters of Professional References. Incomplete applications will not be considered.
Resume and 2 Letters of Professional References
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