The BLOC Foundation Construction Workforce Development Training Program Eligibility Questionnaire

The BLOC Foundation Construction Workforce Development Training Program Eligibility Questionnaire

Welcome! Thank you for your interest in The BLOC Foundation’s Workforce Development Program. We're excited to support your career journey in construction. This form helps us get to know you better so we can provide the right support, opportunities, and training. Your information is confidential and will only be used for program eligibility, reporting, and placement support.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence*
Date of Birth (required for eligibility - legal age for training & OSHA certification)*

MonthDayYear
Date
Are you a U.S. citizen or authorized to work in the U.S.? *

YESNO
Are you a U.S. Military Veteran?*

YESNO
Race*

American Indian or Alaska NativeAsianBlack or African AmericanHispanicNative Hawaiian or Other Pacific IslanderWhiteOther
Do you have a disability or require accommodations? *

YESNO
If you answered "yes" to the above, please clarify.
Gender Identity*

FemaleMaleNon-BinaryLGBTQIA+Prefer not to sayOther
Are you currently employed?*

YESNO
If yes, what is your current job title/role?
Education/Certifications*

Some High SchoolHigh School Diploma or GEDSome CollegeAssociate DegreeBachelor's DegreeMaster's DegreeDoctorateOther
Have you ever worked in construction or a skilled trade?*

YESNO
If you answered "yes" to the above, please clarify.
What interests you about a career in construction? *
Are you interested in any specific trades?

CarpentryDrywallElectricalPlumbingHVACMasonryConcreteRoofingWeldingHeavy EquipmentPaintingSafetyOther Type:
Classes are held Monday thru Wednesday evenings; 6 to 8 pm. Can you commit to the 16-week training program?*

YESNO
Do you have reliable transportation?*

YESNO
Are you committed to obtaining full time work in the construction industry?*

YESNO
Are there any barriers that may impact your participation?*

ChildcareTransportationWork ScheduleHousingNoneOther
How did you hear about this program? Please list here.*
UVSO, DMAVA, VSO, Catholic Charities, One Stop, TBF website, Google, Facebook, Instagram, etc.
Upload Resume (optional, but helpful)

Cancelof
Thank you for taking the time to complete The BLOC Foundation’s Workforce Development Construction Training & Certification Program survey.

Your interest in this opportunity is greatly appreciated, and we’re excited about the possibility of supporting your journey into the construction industry.

Our team will review your submission. If your application meets the eligibility requirements, you will be contacted shortly with more information about the next phase of the enrollment process.

We appreciate your patience and look forward to connecting with you soon.

– The BLOC Foundation Team

Want to stay connected in the meantime?

📱 Follow us on Instagram: https://www.instagram.com/theblocfoundation/

💻 Visit our website: https://theblocfoundation.org/
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