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To begin the process, please complete the form below. If you have questions, please see our Frequently Asked Questions.

Contact Details

First Name

Preferred Name (if different from first name)

Middle Name

Last Name

Suffix

Preferred pronouns

Please specify preferred pronouns

Cell phone

Email

Date of Birth (MM/DD/YYYY)

Street Address

City

State

Zip Code

Information Session Preference

How did you hear about JobTrain?

Please Specify

Let us know how we can help you

ADDITIONAL JOBTRAIN SERVICES

Job Assistance

Career ExplorationInterviewing SkillsJob Search HelpResume Help

* By submitting your mobile number, you agree to receive text messages from JobTrain. You can opt-out anytime. Message & data rates may apply. You will not receive any unsolicited messages from this sms number and we will never share your number.

Record Type Id

CTE?

Selection Helper

YOU MUST SELECT A CHECKBOX TO PROCEED. We are not accepting submissions for our paused programs.

Consent and Information Release

ESL 1

ESL 2

Basic Computer Skills

On the first page, you indicated interest in some of our additional trainings (ESL classes/basic computer skills in Spanish), rather than our Career Training courses. Please fill out the rest of this form, and a JobTrain staff member will reach out to help enroll you in these programs. Before you proceed further, we ask that you read through and consent to the following statement:

JobTrain’s Salesforce System

During the registration process and throughout your participation in the JobTrain program, JobTrain will collect certain personal information from you. This information is necessary for us to run our programs, receive funding, improve our services, and better understand your needs.

We will only collect information that is necessary to achieve these goals and will never share it outside of the JobTrain family of programs without your consent. To protect your rights and privacy, JobTrain uses a secure electronic database system called Salesforce to store any personal information that is collected throughout the course of your participation in our JobTrain Program. The collection and use of all personal information by JobTrain is guided by strict standards of confidentiality.

The information gathered in Salesforce is used by internal staff to maximize service delivery to our clients. Additionally, the information gathered in Salesforce is shared with JobTrain’s internal Impact department to evaluate and improve service delivery. Data shared with required funders is deidentified and sent aggregated without individualized information unless otherwise notified in advance.

RELEASE STATEMENT

I acknowledge that I received and reviewed the Salesforce Consent and Information Release Form and that I understand and agree to its terms and conditions, including JobTrain’s collection, storage, and dissemination of my personal information within the JobTrain family via the Salesforce database.

Client Full Name

Do you consent:

I consentI decline

End of Intake

Because you disagree with our data collection through Salesforce, we will end your interest form here. Please email outreach@jobtrainworks.org if you are still interested in participating in our programs.

Upskill Training Data Collection

Additional Client Information

Gender Identity

Ethnicity

Please specify Ethnicity

Highest Education Level Completed

Please specify Foreign Degree

Preferred Language

Please specify preferred language

Barrier to Employment Information

Next, we will be asking if the following descriptions fit you. We ask these questions because these are common challenges to finding or keeping a job. Providing the information will not affect our service to you in any way, but will help us better assist you and understand our client population.

	Yes	No	Prefer not to answer
Do you feel that your English skills limit your ability to find or keep a job?
Do you lack reliable means of transportation?
Are you homeless or at risk of being homeless (meaning not having a fixed, regular, and adequate nighttime residence that is not a shelter)?
Have you been convicted a crime or incarcerated? (exclude traffic violations) Please note, answering Yes does NOT disqualify you from our programs.
Are you a military veteran?
Do you use any substances (including alcohol, illicit drugs, or prescription medication not as prescribed) in a way that negatively affected your work performance?
Do you have a documented disability that may influence your ability to work? The disability should be recognized by a medical professional or government agency.
Do you currently receive food stamps?
Do you currently receive any other kinds of public assistance?
Do you have significant reading or writing challenges that affect your ability to work?
Do you find it challenging completing daily digital tasks on your own (including but not limiting to setting up and using email, the folder function in Windows/MacOS, using web browser, Zoom, keyboard, and mouse)?

Do you want to share with us any other conditions that may bring challenges to employment?

YesNo

If yes, please specify below

Employment Status Information

Do you have authorization to work?

What is your current employment status?

What is the last day you were employed? (If you are currently employed, please fill in today's date. If you don't remember the exact date you were last employed, use the first day of the month or year)

What is your most recent or current hourly wage (If you are/were on monthly or annual salary, please convert it to average hourly wage. If you do not remember or prefer not to answer, please write so.)

What is your most recent or current job title? (If you do not remember or prefer not to answer, please write so.)

What is your most recent or current employer's name? (If you do not remember or prefer not to answer, please write so.)

Location Preference

Thank you for filling out our interest form. On the last page, you indicated interest in some of our additional trainings and career services, rather than our Career Training courses. The services you are interested in are provided at the following locations. Please indicate your preferred location.

Click the following link to visit our East Palo Alto Economic Advancement Center website: East Palo Alto Career Center | JobTrain (click here)

To book a job search appointment directly: Calendly - John Silva (click here)

You can also go in person to:
2100 University Avenue, Suite C
East Palo Alto, CA 94303

Click the following link to visit our Half Moon Bay Economic Advancement Center website: Half Moon Bay Economic Advancement Center | JobTrain (click here)

You can also go in person to:

248 Main Street

Half Moon Bay, CA 94019

Click the following link to visit our Menlo Park Economic Advancement Center website: Menlo Park Career Center | JobTrain (click here)

To book a job search appointment directly: https://calendly.com/gconstantino-jobtrainworks/30min (click here)

You can also go in person to:
2100 University Avenue, Suite C
East Palo Alto, CA 94303

Click the following link to visit our North Fair Oaks Economic Advancement Center website: North Fair Oaks, Redwood City – Economic Advancement Center | JobTrain (click here)

You can also go in person to:

3009 Middlefield Road

Redwood City, CA 94063

Click the following link to visit our San Jose Economic Advancement Center website: San Jose Economic Advancement Center | JobTrain (click here)

You can also go in person to:

1600 Technology Drive, 6th Floor

San Jose, CA 95110

Click the following link to visit our North San Mateo County Economic Advancement Center website: North San Mateo County Economic Advancement Center | JobTrain (click here)

You can also go in person to:

366 Grand Avenue

South San Francisco, CA 94080

Email Helper

Based on your previous responses, there is no need to submit this form. However, if you would like to push submit, feel free to do so