Workforce Development Application Header Image

Introduction ( Section 1 of 8 )

We are proud to provide Equal Opportunities to all qualified workforce development applicants irrespective of race, color, national origin, sex, gender identity or expression, religion, age, disability or veteran status.

At which affiliate are you interested in working?*
Is this a college requirement?
Semester Desired?
Is this service required?*

Contact Information ( Section 2 of 8 )

Name*
Date of Birth*
Address*

Emergency Contact Information ( Section 3 of 8 )

Name*
Name*

Education ( Section 4 of 8 )

High/Prep School or GED

Graduated
Address

College/University

Graduated
Address

Graduate School

Graduated
Address

Business or Vocational School

Graduated
Address

Additional Education

Work and Volunteer History ( Section 5 of 8 )

Most Recent Organization

From
To
Address

Organization

From
To
Address

Organization

From
To
Address

Additional Information ( Section 6 of 8 )

Please select all languages that you speak fluently

Skills/Hobbies

Computer Skills

Care New England Volunteer/Work History

Have you ever been an intern, extern, volunteer, or participated in a capstone or leadership project at any Care New England Organization?

Date/Time
To
Date/Time
To

Have you ever been employed or an apprentice at any Care New England Organization? If yes, please select the affiliate and dates.

From
To
From
To

List the name of any relatives/friends currently employed or volunteering at a Care New England Affiliate.

Name
Name

References and Availability ( Section 7 of 8 )

Availability

How many days per week do you wish to participate in our workforce development?*
What time of day are you available to participate in our workforce development?
What day(s) of the week are you available to participate in our workforce development?
Are you under the age of 18?*
If yes, parental authorization is required. You will be asked to complete the Workforce Development Youth Agreement Parent/Guardian Consent section on the last page of this form .

References

Please list two individual references unrelated to you.

Primary Reference

Name*
Address*

Secondary Reference

Name*
Address*

Agreements ( 8 of 8 )

Workforce Development Agreement

I agree to abide by and observe all rules and regulations and confidentiality requirements as well as the minimum commitment of the CNE affiliate in which I am supporting.

I hereby certify that the answers given by me to the foregoing questions and the statements made by me are full and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application or any supplements thereto, is cause for rejection of my application or discharge at any time during my workforce development program commitment. I understand that as a condition I will be required to complete the organization’s pre-workforce health screening and background checks, including a criminal background check. I understand that any offer of workforce development is contingent on my producing appropriate documentation verifying my identity. I voluntarily authorize my former employers, schools, and persons named herein to give information regarding me, whether or not such information is part of their records. I hereby release said organizations or persons from any liability or damages whatsoever for issuing this information.

Do you agree to the terms above?*

Workforce Development Youth Agreement Parent/Guardian Consent

I authorize my
Minor's Name

to participate in the Workforce Development Youth Program at this CNE affiliate and to engage in such workforce development activities as may be assigned by the Workforce Program Managers, or a designated representative. I give my permission to the affiliate for the administration of any minor, should it be deemed necessary. I release CNE/ the CNE affiliate from any claim or liability for any injury or illness resulting to said minor, not occasioned by any fault or neglect on the part of the affiliate, while participating in such workforce development activities.

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