The Senior Community Service Employment Program (SCSEP) is a work-based training program for older Americans to build/enhance/update job skills to be able to look for and find a job. To be eligible, SCSEP applicants must be at least 55 years old, unemployed, meet the income requirements, have low employment prospects and need job skills training.








Contact Information
















Program Eligibility




Source of Income received in the last 6/12 months (applicant & Family Members). Check all that apply:




$

$


$


$


$


$


$


$


$


$


$


$


$


$



$


Other Information











Enter distance in miles









Employment History

Please list your last 10 year work history, including unpaid volunteer work & trainings.









The information I have provided is true to the best of my knowledge. I am aware that the information I have provided is subject to review and verification.


Please type your name to sign this form