WorkTexas Intake Application

Welcome to the WorkTexas Intake Application! 

If you would like to read this application in a different language, please select one from the list below.
To sign up for WorkTexas training, you will need to complete the following steps:
  1. Complete the Intake Application
  2. Attend an Information Session
  3. Get Screened for Eligibility
  4. Attend Ganas Boot Camp
Review your application before you submit it. If you leave the form idle for more than 20 minutes, your session will expire and you will have to start over!
Acknowledgement

Reason for Applying

Personal Information





Contact Information




name@domain.com

name@domain.com







Page 2

Demographic Information





Yes No




Page 3

Education


Criminal Background





Drug Free Policy

I9 Documents


Page 4

Resources







Page 5

Screening Questionnaire
The answers to the next set of questions are used to predetermine any potential scholarships and funding opportunities for you. The answers DO NOT affect your ability to move forward with the enrollment process for our trainings.  
Yes No

Page 6

Referral Information


Sign Up for an Information Session
Your next step is to attend a mandatory Information Session. During the Information Session, you will learn more about our training programs, career pathways and the WorkTexas training model. For your convenience, we offer Information Sessions and trainings at two locations. 

Tuesdays at 5:30 pm: The Opportunity Center, 6500A Chimney Rock, Houston, Texas 77081.

Thursdays at 5:30 pm: WorkTexas - Gallery Furniture, 6006 North Freeway, Houston, Texas 77076.

Please select the next available date for Information Session: 


The Opportunity Center
Tuesdays at 5:30 pm: The Opportunity Center, 6500A Chimney Rock, Houston, Texas 77081.









Gallery Furniture
Thursdays at 5:30 pm: WorkTexas - Gallery Furniture, 6006 North Freeway, Houston, Texas 77076.
















You can only register for one info session.