Green Reentry Job Training Program Application
Applicants must be formerly incarcerated or justice-involved. All information will be kept confidential. If you would like a paper application or have any questions, please contact or (401) 996-4922.
Name *
Address *
Phone number *
Email Address *
Date of Birth *
Race/Ethnicity (Please tell us how you describe yourself in terms of your race and/or ethnicity. You can choose more than one option.) *
Gender *
Are you a veteran of military service? (If yes, which branch?) *
In case of emergency, who should we contact? (Name, Phone number & Address) *
Relationship to you? *
What is the highest level of education you have completed? *
How did you hear about this job training program? *
Do you have any experience working in the green industry (agriculture, landscaping, tree service, etc.)? If so, please describe. *
Have you attended other training programs in the past? If yes, please describe. *
Why are you interested in participating in this job training program? *
Are you available Monday thru Friday from 9 am – 5 pm from September 27 - November 5? *
How will you get to class? *
If you have children, do you have sufficient child care coverage during class time(s)?
Are you currently on probation or parole? *
Are there any circumstances that might interfere with your participation in the program (restricted travel, mandatory PO appointments during training time, etc.)? Please note that we will work with you to try to accommodate your schedule and restrictions. *
Do you have any health problems or disabilities that may prevent you from fully participating in the training, or that would limit the types of work you are best suited for (can’t lift over certain weight, severe asthma, etc.)? *
Do you have any allergies (food, medicine, certain materials, grass/pollen, etc)? *
Are you currently employed? *
Please list your 3 most recent jobs. Include Employer and what Position and Duties you had. *
What were your reasons for leaving your 3 most recent jobs? *
Do you have any volunteer or community service experience? *
Do you have a valid driver’s license? *
Do you have any other skills or certifications/licenses (CDL, others) that will aid you in your job search? *
What hobbies, sports, or other community activities do you enjoy and actively participate in? *
Which of the following technologies do you have confidence using? *
Is there anything else you would like us to know?
Note that this training is for formerly incarcerated or justice-involved men and women. *
I certify that all information on this application is complete, accurate, and true to the best of my knowledge. I also understand that I am not guaranteed employment through completion of the Green Reentry Job Training Program. *
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