registration application

Complete within its entirety

Name & phone number*

Email*

City, State Zip code*

Occupation Desired and would you be interested in free construction training?*

Did you complete High School and year graduated? If you attended High School and didn't graduate, what year?*

What hours can you work? - Miles willing to travel-Will you use your own or public transportation for work? (Ex. 6a-6p, 21-40 miles, auto or public) *

Year born; Do you have a State issued & SS Card (Yes or No) Can you legally work in the United States? (Yes or No). Ex. 1990 Yes Yes*

Do you have any misdemeanors or felonies on your background? If yes, state the offense(s) and year committed. (Ex. theft 2001) If none, type N/A.*

How did you hear about us or who referred you?*

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First Step Community Empowerment

registration application

Complete within its entirety

First Step Community Empowerment

First Step Community Empowerment

P.O. Box 542276 Grand Prairie, TX 75054

Created by FSCE