Workforce Development Engagement Form

City of Evanston Workforce Development Division

Engagement Form
- Name*
  
  First NameLast Name
- Date of Birth*
  
  MonthDayYear
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Which Program are you interested in?
  
  GROWW (Transitional Jobs Program)ASPIRE (Health Care Program)Emerge (Health Care and Hospitality)Local Employment Program (Construction)Lead Pipe Replacement (Water Sewer System and Plumbing)
- What Ward (in Evanston) do you live in? *
  Copy and Paste this link into your browser: https://www.cityofevanston.org/home/showpublisheddocument/4216/637991808010300000
- Email*
  example@example.com
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Primary Language Spoken*
  
  EnglishSpanishOther
- Race/ Ethnicity*
  
  HispanicWhiteBlack or African AmericanAmerican Indian and Alaska NativeAsianNative Hawaiian and Other Pacific IslanderMultiracialOther

Understanding Your Needs
Career Seekers: What industry(ies) are you interested in?*

Business & FinanceChildcare & EducationHealthcare & Senior LivingHospitality and Customer ServicePublic Safety & SecuritySkilled TradesTechnologyTransportation & LogisticsOther (list your interest in the "Additional Information" section before submitting.)
Professional Development Seekers: What services are you interested in?

Workforce TrainingCareer Counseling and CoachingCareer Development (Resume Building, Soft Skills Training)Business Support (Entrepreneurship)
Wrap Around Service Seekers: What services are you interested in?

Credential AttainmentFinancial Literacy Education (Personal Money Management)Mental Health & WellnessChildcare AssistanceHousing AssistanceTransportation AssistanceReentering Citizens Support
Do you have a resume? If so, please upload below.*

YesNo
Resume Upload

Cancelof
What essential workforce skills do you possess? *

0/75
What essential workforce skills do you possess? (List any certifications, industry-technical skills or soft skills.) To add more, click the "+" icon.*
- Referrer Name
  
  First NameLast Name
- Organization Name
- Organization Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Is the Individual aware of this Referral?
  
  YesNo
- Type of Employment Requested
  
  OfficeField/Labor
- Reason for Referral
- How would you define your current situation?*
  
  HomelessUnemployedUnderemployedRe-entering CitizenUndocumented/ Immigrant StatusOther
- If you selected "other" above, please briefly describe your economic situation.
- Additional Information
- Do you have additional information you'd like to share with us?
- Upon submitting this form, you will be redirected to a scheduling page for your Career Intake Assessment with a team member of the Workforce Development Division.
  
  For any questions, please email workforcedevelopment@cityofevanston.org or visit our website.
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