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Name
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First and last name
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Email
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Address
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Phone number
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Marital Status
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Single
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Do you have your High School Diploma or GED?
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How many children do you have? And what are their ages?
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What type of childcare do you use?
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Where and with whom are you living?
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Do you have a car? Or what do you use for transportation?
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What types of Government assistance do you receive?
SSDI
SSI
TANF
CCAP
Unemployment
Food Stamps
Medicaid
Section 8
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Are you currently working?
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Other:
What is the last job you had and when?
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What types of industries do you have work experience in?
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When could you start a new job?
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Are you able and willing to work full time (40 hours a week)?
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Other:
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Have you ever been arrested? Or do you have any pending charges? Please explain.
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Do you have any work or personal goals?
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Tell us about yourself and why you want to be a part of The Bridge Network Program.
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Please list a reference or a mentor.
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How did you hear about The Bridge Network?
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Submit your cover letter or resume, if you have one to
kelly.mcfadden@bridgenetworkcolorado.com
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