Works® Programs Online Application

Thank you for your interest in the JVS SoCal's free training and job placement program. Completing the application below is the first step. To ensure that you meet our program requirements, please complete the brief form below. (*indicates a mandatory field)

Which program are you interested in applying for?*

Eligibility

Minimum age 18
Minimum High School Diploma or GED
Must be fluent in English
Valid California ID
Must be eligible to work in the United States
Achieve required grade levels in math and reading assessments
Acceptance conditioned upon passing criminal background check
Must commit to perfect attendance for the duration of the training program
Drug screening (includes marijuana)

Have you applied to any JVSWorks programs previously?*

If so, what program(s) have you applied to?
ApartmentWorksBankWork$CareerWork$ MedicalHealthWorks

Residential Address

Address*

Apartment #

Mailing Address same as Residential

Address*

Apartment #

Email Address*

Driver's Licence Number /or I.D.*

Are you a U.S. military Veteran?*

Military Branch

Registered with Selective Service?*

Citezenship Status*

Gender*

Orientation*

What are your preferred pronouns?*

Race*

Ethnicity*

Do you have access to a computer?*

Do you have access to High Speed Internet?*

Relationship Status*

Family Size*
This includes you and your immediate family

Number of Dependents uder 18 years old*
Children that you claim as dependents or children that you are the legal guardian of

Are you the Head of Household*
You are not married, are not a dependent, or you pay more than half of the cost of maintaining your household

Household Annual Income*

Source of income*:

Part-Time EmploymentFull-Time EmploymentSSI (Supplemental Security)TANF/CALWORKSGeneral ReliefCalFreshUnemployment BenefitsOther
Other Sources of Income:

Education

Highest level of education Achieved*

High School/GED

Community College

College/University

Other

Are you currently attending school?*