HealthWorks® Online Application

    Thank you for your interest in the JVS SoCal's free, eight-week HealthWorks® 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)


    • 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)

    Employment History

    Please tell us about your CURRENT or LAST employer.

    Additional employment history (optional)


    I certify that the information provided on this application is true and complete. I understand that providing false information or omitting requested information may be grounds for denial of participation in or ejection from any JVS program at any point in the future. I authorize the verification of any information I have provided in this application.

    I Agree