Clone of Atlantic City Works Training Program

an Atlantic City resident who is unemployed.an Atlantic City resident who is underemployed.an Atlantic City casino employee, who needs training to help me keep my job.an Atlantic City casino employee, who needs training to help me advance in my job.

First NameMiddle NameLast Name

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Full-timePart-timeBothNot seeking employment at this time.

	Response
Job Title
Employer
Address
City/State/Zip
Start Date
End Date
Wage ($ per hour)
Reason for Leaving
Job Duties
Additional Skills
Professional Associations

I attest that the information provided is true and accurate any misrepresentation may be grounds for termination from program(s). I further understand that being determined eligible for services and/or training does not necessarily entitle me to service/training.

Atlantic City Works Training Program

Employment Preferences and Work History