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ccsc-form-southbridge
Alison Boisvert
2020-05-19T11:52:38-04:00
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Name
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First
Last
Phone Number
JobSeeker ID Number
*
Email
*
Please enter your email, so we can follow up with you.
I Watched the Career Center Video on Date
*
I acknowledge that I have reviewed the Training Opportunities (Section 30) flyer and am aware that the application deadline is no later than the 20th payable week of my unemployment claim.
I acknowledge that I have reviewed the information provided in the Complaint Brochure.
Which partner agency (ies), if any, are you currently receiving or using services from? (Check all that apply)
ABE Adult Basic Education
DTA Department of Transitional Assistance
DUA- Division of Unemployment Assistance
JOB CORP
MCB Mass Commission for the Blind
MRC Mass Rehabilitation Commission
SCSEP Senior Community Service Employment Program
Other
What supportive services / community resources, if any, do you need information about? (check all that apply)
Health Insurance
Food stamps / cash assistance
Fuel Assistance
Childcare
Transportation
Other
Based on your situation, you may be eligible for specialized services. (check all that apply)
I am a Veteran or eligible spouse of a Veteran*
I have a disability*
I’m a young adult (age 16 – 24
I have limited English skills
I am a “mature worker” (age 45+)
I am an ex-offender re-entering the workforce*
I have a CORI record
I am a Migrant Seasonal Farmworker
I have been unemployed for 26+ months*
I am interested in volunteering
I am thinking about starting my own business
I am receiving SNAP / TANF / SSI*
* Work Opportunity Tax Credit (WOTC) may apply. WOTC is a Federal tax credit incentive that employers may receive for hiring individuals from certain groups who have consistently faced barriers to employment.
What training programs, if any, would you like to get more information about? (check all that apply)
Higher education, ABE, ESL or HSE
WIOA ITA / Adult & Dislocated Worker Program*
National Dislocated Workers Grant program*
TRADE program*
Basic computer skills, or skills with applications like MS Word, Excel, PowerPoint, Access, Outlook, QuickBooks
* Dependent on funding and eligibility requirements
What assistance are you looking for to help with your job search? (check all that apply)
Job search strategies
Online applications
Self-Assessment tools
Career exploration
Labor market research
Résumé writing
Interviewing skills
Mock interview
Networking
Other
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