Jacksonville Getting Ahead Fall 2019

APPLICATION

The Getting Ahead Program is a 16-week course with weekly sessions of 2.5 hours per week. You must be willing and able to commit to attending all 16 sessions. Classes will begin September 19, 2019 and continue for 16-weeks (no classes during Thanksgiving, Christmas and New Year's weeks), with completion in mid-January 2020.

Please note: Session space is limited to 12-15 participants per class. Completion of the application does not guarantee enrollment in a Getting Ahead class. We will contact you by email or phone in early August to further discuss your application. THANK YOU for your interest in Getting Ahead!

Question Title

* 1. Information about YOU!

Name *

Address *

Address 2

City/Town *

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

Question Title

* 2. How many people live in your household?

Question Title

* 3. How many children live in your household?

Question Title

* 4. Are you employed?

Yes, Full-Time

Yes, Part-Time

Question Title

* 5. Check all that apply to you:

I have a high school diploma or GED.

I am currently enrolled in vocational training or college classes.

I have an Associate's or Bachelor's college degree.

Question Title

* 6. How did you hear about Getting Ahead?

Referred by WIC

Referred by Hope

Other (please specify)

Jacksonville Getting Ahead Fall 2019

APPLICATION

Question Title

* 1. Information about YOU!

Question Title

* 2. How many people live in your household?

Question Title

* 3. How many children live in your household?

Question Title

* 4. Are you employed?

Question Title

* 5. Check all that apply to you:

Question Title

* 6. How did you hear about Getting Ahead?

Question Title

* 7. Is there anything else you would like us to know about YOU?