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 janderson@hotgoodwill.org
Name *
Primary Phone Number *
Address *
Email Address *
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: *
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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