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Workforce Grant Pre-Screen Form
Step
1
of
14
7%
Are you currently receiving Unemployment Benefits?
Are you currently receiving Unemployment Benefits?
(Required)
Yes
No
Are you currently receiving Supplemental Nutrition Assistance Program (SNAP)?
Are you currently receiving Supplemental Nutrition Assistance Program (SNAP)?
(Required)
Yes
No
Are you a Veteran, a Veteran’s Spouse, or a Veteran’s Dependent?
Are you a Veteran, a Veteran’s Spouse, or a Veteran’s Dependent?
(Required)
Yes
No
Have you used VA benefits for tuition coverage?
Have you used VA benefits for tuition coverage?
(Required)
Yes
No
What is your Highest level of Education?
What is your Highest level of Education?
(Required)
GED
High School Diploma
Some College
College Degree
Are you available during the hours of 8:00am - 4:00pm Monday -Thursday?
Are you available during the hours of 8:00am - 4:00pm Monday -Thursday?
(Required)
Yes
No
What county do you live/reside in?
What county do you live/reside in?
(Required)
Tarrant
Dallas
North Central Texas
Other
Are you currently employed?
Are you currently employed?
(Required)
Yes
No
Do you have a credit score higher than 550?
Do you have a credit score higher that 550?
(Required)
Yes
No
How did you hear about us?
How did you hear about us?
(Required)
Google
Newspaper
Facebook
Friends/Family Member
Mailer
School
Other
What is your Name?
First Name
(Required)
Last Name
(Required)
What is your Birthday?
Date of Birth
(Required)
What is your email address?
What is your email address?
(Required)
What is your phone number?
What is your phone number?
(Required)
