CAMT Application

CAMT

Property Maintenance Training Program Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth*

MonthDayYear
MM-DD-YYYY
I was referred to this program by:
How did you hear about this program?
If you have any previous Maintenance experience, please tell us more:
Program Requirements:

I certify that I meet all of the following eligibility requirements for the Property Maintenance Training Program.

I am 18+ and a resident of Jefferson County

I have my GED or High School Diploma

I have access to reliable transportation

I have access to a reliable computer with a web camera and internet connection

I will submit to a background and drug test

I understand that a failed drug test will not disqualify me from enrolling, but may affect the availability of employment opportunities.
I certify that I meet all of the program requirements for enrollment in the Property Maintenance Program.*

YESNO
If you answered "No" please tell us why so that we can try to address those issues.
I HEREBY CERTIFY THAT THE ANSWERS GIVEN BY ME ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I FURTHER CERTIFY THAT I, THE UNDERSIGNED APPLICANT, HAVE PERSONALLY COMPLETED THIS APPLICATION. I VERIFY BY MY SIGNATURE THAT THE ABOVE ADDRESS IS MY CORRECT LIVING ADDRESS. I HEREBY AUTHORIZE YOUTHBUILD LOUISVILLE TO THOROUGHLY INVESTIGATE MY WORK RECORD, EDUCATION AND OTHER MATTERS RELATED TO MY SUITABILITY FOR ACCEPTANCE INTO THE PROGRAM. PLEASE ENTER YOUR INITIALS IN THE SPACE BELOW, INDICATING YOUR AGREEMENT TO THE TERMS LISTED ABOVE. YOUR INITIALS IN THE SPACE BELOW ACT AS YOUR SIGNATURE TO THIS DOCUMENT.
Your Initials:*
Should be Empty: