CNWI Contact Form

Are you a CNWI Workforce Organizer?*

YesNo
CLICK HERE TO CONTINUE FILLING OUT THIS FORM
Name*

First NameLast Name
Are you looking for full time employment?*

YesNoOther
Do you have a phone?*

YesNo
Do you have an email you can access?*

YesNo
To sign up, you must have either a working phone number or email address so that we can contact you.
If you do NOT have either a phone number or email, please call us at 216-696-5707 to receive more information.
Phone Number

Area CodePhone Number
Would you prefer to be contacted via phone call or text message?*

Phone CallText MessageBoth Call and Text are OK
Email
example@example.com
When is the best time to contact you?

MorningAfternoonEveningOther
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City or Neighborhood (If there is no permanent address)
Example: Brooklyn, Cleveland Heights, West Park, etc
What kind of career are you interested in?
Have you participated in a workforce program before?*

YesNo
What was the workforce program? (Optional)
What are the barriers to securing employment? Check all that apply

TransportationChildcareClothingCriminal HistoryDisabilityMental HealthAddictionHomelessnessSkillsAgeOther
Do you currently receive any of the following benefits or any other cash benefits that limit your allowed income?

Social SecurityDisabilityOther
Are you filling out this form on behalf of someone?*

YesNo
Information entered by:*
Location:
Additional Notes:
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