Akron Urban League's Ignite: Connections that Fuel Success Application
Email address *
Full Name *
Permanent Street Address *
City, State, Zip Code *
Phone Number *
Secondary Phone Number
Are you 18 years or older? *
Are you prevented from lawfully becoming employed in the U.S. because of visa or immigration status? *
Have you ever been convicted of a felony or misdemeanor? Please note that background challenges may not prelude candidates from participating in our workforce development programs. *
If yes, please explain. *
Are you currently employed? *
What is your current job title? (If unemployed, put "unemployed" or "N/A") *
What is the highest level of education that you've completed? Did you graduate?
High School/ GED
College/ University
Post Graduate
Degree(s) or Subject(s) Studied (If applicable)
List any skills such as: fluency in sign and/or any foreign languages, apprenticeships, computer training, CPR/First Aid certification, etc.
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