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New Community Workforce Development Center Intake Form
Thank you for your interest in applying to the Job Training and Employment Programs at New Community Workforce Development Center. Take a few minutes to fill out the intake form below so that our staff can better serve you. Please expect to hear from us within 3 to 5 business days. To contact Workforce, call 973-824-6484 or email LaToya Bass at lbass@newcommunity.org. Workforce is located at 274 South Orange Avenue, Newark, NJ, 07103, fax: 973-824-6545.
First Name
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Last Name
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Cell Phone Number
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Email Address
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Address
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Home Phone Number
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Date of Birth (ex. 10/12/85)
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Do you possess a valid New Jersey driver's license?
Do you have any felony convictions?
Do you have a high school diploma?
Have you ever applied for or been awarded financial aid?
Please check off the boxes for any program(s) that you are interested in:
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How did you hear about us?
Do you have any questions/comments for us? If so, let us know here:
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