Women's Participant Application

Today's Date:

Full Name:

Mailing Address:

Email:

Cell Phone:

Home Phone:

Work Phone:

Birthday Year:

Marital Status:

May we contact you through email and mail about job postings and information concerning the classes at CJC?

Yes

No

Will you be in need of childcare assistance while you are in training?

Yes

No

Will you be in need of gas assistance to get to and from CJC training? *Assistance will only be considered for those driving more than 20 miles one way per day to class. If funds are available for qualified applicant:

Yes

No

How did you learn about Christian Job Corps? Check all boxes that apply:

What is your current job status?

Unemployed

Self-Employed Part-Time

Working Part-Time

Working Full-Time

Self-Employed Full-Time

Employer / Company Name:

Do you plan to seek a job (or a different job) as a result of participating in CJC?

Yes

No

Do you currently volunteer some of your personal time? Your response to this question will not affect your acceptance into the CWJC program

Yes, volunteering full-time

Yes, volunteering part-time

No, not at this time

If YES, Volunteer Organization Name:

Do you attend a place of whorship? Your response will not affect your acceptance into the CJC program:

Yes - Regularly

Yes - Most of the time

Yes, Sometimes

No

If YES, what is the name of the church you attend

Do you currently have prayer time with God?

Yes - Regularly

Yes - Most of the time

Yes,- Sometimes

No

Do you currently read/study the Bible?

Yes - Regularly

Yes - Most of the time

Yes - Sometimes

No

What is your highest level of education:

Provide the following information for each school attended: 1. School Name 2. City/State 3. Years attended 4. Graduation date 5. Type of degree received 6. Major - if applicable

Can you type?

Yes - Quite well

Yes - Hunt & peck

No

Have you ever used a computer?

Yes - Regularly

Yes - Most of the time

Yes - Sometimes

No

Check if you have experience with any of these (check all that apply):

List additional skills you have that could be used in the workplace:

Get Involved

Contact Us

©2024 cHRISITAN JOB CORPS

A MINISTRY OF WMU