ITXpress Program Application
Email address *
(All personal information you provide will be kept strictly confidential and will be used only for program purposes. Do not leave any section blank. Write N/A if it doesn't apply to you.)
Full Name *
Your answer
Gender *
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Apartment number or floor (Enter "N/A" if not applicable) *
Your answer
Phone: *
Your answer
Date of birth (program is restricted to persons age 17 through 29) *
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How did you hear about the ITXpress Program? *
Your answer
Do you consider any of the following to be barriers to obtaining training and employment in the Information Technology field? Please select those that are barriers. Preference will be given to candidates who face barriers to full-time employment. (Select N/A if none are applicable) *
Required
If your application to the ITXpress program is accepted, are you willing and able to attend all classes, and to keep all weekly appointments with an ITXpress Career Navigator? *
Why are you interested in the ITXpress program? *
Your answer
Describe briefly any experience you've had with Information Technology or computers. *
Your answer
Where did you attend high school? *
Your answer
Did you graduate? *
did you take any I.T. courses in high school? *
Your answer
Have you attended college? *
If so, where (enter "N/A" if not applicable): *
Your answer
When? (enter "N/A" if not applicable) *
Your answer
Did you take any I.T. courses in college? (enter "N/A" if not applicable) *
Your answer
Are you employed? *
If yes, full-time or part-time? *
Have you ever been employed? *
If yes, what was your occupation? (enter "N/A" if you have never been employed) *
Your answer
Are you willing to move in order to obtain employment in the Information Technology field? *
Are you collecting unemployment benefits? *
If so, when did you begin collecting (month & year)(enter "N/A" if not applicable) *
Your answer
Do you have a driver's license? *
Do you have a reliable vehicle & insurance? *
Do you rely mainly on public transportation? *
Do you have some familiarity with any of the skills and credentials listed below? Check the ones that apply: *
Required
Why are the ones you selected interesting to you? (Enter "N/A" if none were selected) *
Your answer
Who referred you to the ITXpress Program? (Enter "N/A" if not applicable) *
Your answer
Day classes fill up quickly. Would you be interested in night classes? *
By entering my name below, I affirm all the following: The information above is accurate and truthful. I give permission to the Northwest Regional Workforce Investment Board & Workforce Alliance to conduct a background check. I understand that this is a drug free program and that the use of illicit substances will result in expulsion. I understand that participants are not paid for attending training, and that upon completion, employment is not guaranteed. Please enter your name below to sign this application. *
Your answer
Date: *
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The ITXpress program is funded by an H-1B TechHire Partnership grant (HG29357) from the U.S. Dept. of Labor Employment and Training Administration. The workforce board is an Equal Opportunity Employer. Auxiliary aids and services are available upon request to individuals with disabilities.
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