Application for Assessment
Thank you for your interest in The Challenge Program. Applicants must be between the ages of 18 and 24 and be out of school - meaning you graduated high school or you still need GED.   All levels of education and experience are encouraged to apply - even if you have no construction experience. 

APPLICANTS MUST CALL THE CHALLENGE PROGRAM AFTER SUBMITTING THE APPLICATION TO SHOW THEY ARE MOTIVATED TO WORK HERE 302-655-0945

Challenge Program values diversity and is inclusive to all motivated applicants regardless of criminal background, gender identity and expression, religion, color, sexual orientation, ethnicity, disabilities, family status, etc.  If you are between ages 18 - 24 and are interested in learning construction, please complete the application below, then call the shop to follow up 302-655-0945

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First, Middle, and Last Name
 *
Social Security Number *
Gender *
Required
Phone number *
Date of Birth *
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Age *
Ethnicity *
Address (Street, City, State, Zip Code) *
Who do you live with?  *
Do you have health insurance? *
Email Address *
Emergency Contact (Name, Relationship, and Number) *
Are you a US citizen? *
Primary Language *
Do you have children? *
If you have children, how many do you have? 
Enter N/A if the number of children is 0.
 *
Does your child live with you? 
Enter N/A if the number of children is 0.
 *
Marital Status *
Do you have a driver's license? *
Are you currently on probation?  *
Are you currently employed? *
Company name of employment. 
Enter "N/A" if unemployed.
 *
Are you currently attending/enrolled in school? *
School name if currently attending. 
Enter "N/A" if not enrolled in school.
 *
Name of last school attended? *
Highest grade level completed? *
Do you have a GED or HSD? *
Do you have a trade certificate? *
Reason for leaving school? 
Select "N/A" if school is completed. 
 *
Have you been arrested? *
Do you have any convictions? *
If yes, list the charges below. 
(Enter "N/A' if you've never been arrested)
 *
Do you have fines? *
If yes, what is the total amount of fines? 
(Enter "N/A" if you have no fines)
 *
Do you have a probation officer or case worker? *
Enter probation officer's name. 
Enter "N/A" if you answered "NO" to the previous question.
 *
Enter probation officer's phone number. 
Enter "N/A" if you answered "NA" to the previous question
 *
Have you ever been on juvenile probation? *
Enter juvenile probation officer's name. 
Enter "N/A" if you answered "NO" to the previous question.
 *
Have you ever been in foster care? *
Do you have construction experience? 
If yes, provide details below. 
Enter "NO" for no construction experience.
 *
How did you hear about the Challenge Program?  
Drop a name here if you can
 *
What size shoe do you wear (for construction boots) ? *
Enter the date below to show the information you provided on this application is true and you agree to following statement: " On this date, I hereby attest that the information on this assessment is true."  *
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