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Thank you for your interest in JobTrain! We're excited you're ready to take the next step in your career. Please fill out the info below. If you have any questions, please email Outreach@JobTrainworks.org
Tell us about yourself
Please use upper and lower case for your name. E.g. John Doe













Current Address





Education and Employment








Additional Questions












Emergency Contact



Please add a professional photo of yourself!
This is for internal use only, we will not publish anywhere without your permission. 

Please upload a picture of your driver's license, or other form of ID, your social security card, and your proof of Covid vaccination (Medical Assisting and CNA programs only). We will keep your information strictly confidential. If you don't have these documents, please contact Outreach@JobTrainworks.org

Documents are required to verify your identity and right to work, We need them to proceed in the enrollment and registration process.




Disclosure

CONSENT TO RELEASE PUBLIC ASSISTANCE INFORMATION FOR THE CALFRESH EMPLOYMENT & TRAINING PROGRAM



The CalFresh Program, federally known as the Supplemental Nutrition Assistance Program (SNAP), issues monthly electronic benefits that can be used to buy most foods at many markets and food stores. The CalFresh Program helps to improve the health and well-being of qualified households and individuals by providing them a means to meet their nutritional needs.

The CFET program helps individuals receiving CalFresh benefits to obtain employment through
voluntary participation in the program by assisting CalFresh participants to acquire marketable
job skills through training and work experience in order to increase their ability to obtain gainful
employment.

1. RELEASE OF ELIGIBILITY INFORMATION.  I understand this consent form and give my permission to the County of Santa Clara Social Services Agency (SSA) to release and send information relating to the status of my CalFresh eligibility to the CalFresh Employment & Training (CFET) Program representative at JobTrain if I am eligible for the CalFresh program.

2. A photocopy of this consent form shall be considered as effective and valid as the original.

If you agree to the terms above, please select "I accept"
If you do not give consent to release your information, please select "I decline"



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