5-Day Job Seeker Basic Training Interest Form Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. Please fill out the information below: Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 4. What is the best way to contact you? E-mails Phone Calls Text Messages Question Title * 5. What are the best days and times to contact you? Question Title * 6. What is your English proficiency? No English A Little English Conversational English Fluent English Question Title * 7. What other languages do you speak? Question Title * 8. What type of transportation do you have? No Transportation Public Transportation (Bus or Light Rail) Personal Vehicle Other (please specify) Question Title * 9. Do you have access to a laptop that you can bring to class every day? Yes No Question Title * 10. What type of job are you looking for? Check all that apply. Caring for sick people Working with your hands Working in a store Working in food service Using technology Manufacturing Agriculture/Farming Construction Outdoor work Office/Desk Job Customer Service Sales Professional Jobs (Accounting, Engineering, IT, Marketing, Linguistics, etc.) Other (please specify) Question Title * 11. Can you attend every day of the program July 23rd through July 28th? (Saturday, Sunday, Monday, Wednesday, and Thursday) Yes No Question Title * 12. Are you willing to wear a mask during the training program to help prevent the spread of COVID-19? Yes No Question Title * 13. Do you have a case manager? Yes No Next