Green Jobs Training Program Application

Name* This field is required.

First Name

Last Name

PLEASE READ AND CHECK BOX BEFORE CONTINUING WITH APPLICATION* This field is required.

Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

Mobile Number* This field is required.

Additional Contact Number

Personal Email* This field is required.Do not use a work email address

example@example.com

Confirm Email

Local* This field is required.Write in your local

Job Title:* This field is required.Write in your job title

Agency* This field is required.Write the city agency you work for

Do you have any previous work experience in the following areas?* This field is required.Select all that apply

Lighting & Electrical Efficiency

HVAC & Mechanical

Plumbing & Heating

Carpentry & Envelope

Solar PV

Other Renewable Energy

None of the above

Highest level of completed education* This field is required.

Have not yet completed high school or equivalent

High School/HSE/GED

Associates Degree

Bachelors Degree

Graduate Degree

Post Graduate

Are you currently a student or recent graduate (within last 12 months) from a degree program at a college or university?* This field is required.

YESNO

Do you identify with any of the following?* This field is required.

Female

Male

Non-binary

Transgender

Intersex

I prefer not to say

Which of the following ethnicities do you most closely identify with?* This field is required.

American Indian or Alaska Native (Eg: Navajo nation, Blackfeet tribe, Mayan, Aztec, Native Village or Barrow Inupiat Traditional Government, Nome Eskimo Community, etc)

Asian (Eg: Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc)

Black or African American (Eg: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc)

Hispanic, Latino or Spanish origin (Eg: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc)

Middle Eastern or North African (Eg: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc)

Native Hawaiian or Other Pacific Islander (Eg: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, etc)

White (Eg: German, Irish, English, Italian, Polish, French, etc)

I prefer not to say

Are you a veteran of the U.S. Military?* This field is required.

YESNO

Do you have a disability that is recognized by the ADA (Americans with Disabilities Act)?* This field is required.

YESNO

Are you a single parent?* This field is required.

YESNO

Are you currently homeless?* This field is required.

YESNO

Household Size (Include yourself)* This field is required.How many individuals currently live at your residence, including yourself?

10+

Household Income* This field is required.Pick the range that best describes the household income where you currently love

Less than $50,000

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $124,999

$125,000 - $149,999

$150,000 - $174,999

$175,000 - $199,999

$200,000 or more

Age Range* This field is required.

18 - 24

25 - 29

30 - 34

35 - 39

40 - 44

45 - 49

50 or older

Have you previously been incarcerated?* This field is required.

YESNO

Green Jobs Training Program Application - 2023