Trades Application

Your privacy is important to us. All of this information is stored securely and shared only with the State of Colorado and Partners for enrollment purposes  
First Name(Required.)
Last Name(Required.)
Email Address(Required.)
Phone Number(Required.)
Zip Code(Required.)
Lead Source
Trade of interest
What is your highest level of education?(Required.)
What is you Date of Birth?(Required.)
Last 4 of your social security number?(Required.)
List your 1B Snap Number *IF APPLICABLE*
(If you do not know your 1B# Refer to one of your benefits statements
provided to you from the State or-Log in to:
https://peak--coloradopeak.force.com/peak/sor OR
Contact PEAK at: 1-800-250-7741)
How many members are in your household? (adults)(Required.)
How many members are in your household? (children)(Required.)
What is your annual household income?(Required.)
What is your current living situation?
Is your rent current?
Do you have transportation? 
Do you have a driver's license?
Do you have access to a computer?
Which race or ethnicity best describes you? (Please choose only one.)(Required.)
With which gender do you identify?(Required.)
Is English Your Second Language?(Required.)
What is the highest level of school you have completed or the highest degree you have received?
Are you a parent / single parent?(Required.)
Do you have a disability that prohibits certain types of employment?(Required.)
Have you ever experienced homelessness?(Required.)
Are you employed?(Required.)
If so full-time or part-time?(Required.)
If yes, what is your hourly wage?(Required.)
New wage desired? (annual salary or hourly wage)(Required.)
Can you pass a drug test? Or commit to getting clean in the next month?
Personal and Financial

Rate how each topic affects your job search on a scale of "A Lot" to "None at All"(Required.)
Not At All
A Little
Somewhat
A Lot
Locating transportation to search for a job
Overcoming criminal record
Clothes for interviews
Finding adequate housing
Medical, dental, mental health issues
Emotional and Physical

Rate how each topic affects your job search on a scale from "A Lot" to "None at All"(Required.)
Not At All
A Little
Somewhat
A Lot
Career Decisions that help my future
Learning about my skills and abilities
Learning about jobs with a good future
Setting effective long and short-term goals
Employment Barriers

Rate how each topic affects your job search on a scale from "A Lot" to "None at All"(Required.)
Not At All
A Little
Somewhat
A Lot
Dealing with alcohol or drug problem
Keeping a positive attitude
Managing stress of unemployment
Having the energy for job search
Household responsibilities 
Knowledge and Experience

Rate how each question affects your job search on a scale from "A Lot" to "Not at All"(Required.)
Not At All
A Little
Somewhat
A Lot
Getting on-the-job training
Completing an educational program
Completing my high school or GED
Learning how to use computers or the internet effectively
Getting a degree, licenses, or certifications related to my job goal
Job Acquisition and Interviews

Rate how each topic affects your job search on a scale from "A Lot" to "None at All"(Required.)
Not At All
A Little
Somewhat
A Lot
Learning effective job search skills
Learning to talk about my skills to employers
Presenting myself well in interviews
Completing a job application well
Explaining gaps in my work record
Self-Evaluation(Required.)
Not At All
A Little
Somewhat
Very
How comfortable are you with creating a resume?
How comfortable are you with interviewing?
How well do you understand your job-related strengths and weaknesses?
Is there anything else that your coach should know about you?(Required.)
"I acknowledge and agree to SNAP2Jobs representatives forwarding my contact/application information to certificate training providers."