• Job Training Application Questionnaire:

    City of Refuge 1300 Joseph E Boone Blvd. Data collected in this form is covered by our privacy policy: https://www.cityofrefugeatl.org/privacy
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • Program of Interest*
  • Do you possess a valid driver's license?*
  • Working as an auto technician requires regularly lifting, carrying, pushing, and pulling automotive parts, tools, and equipment weighing up to 50 pounds. Are you able to perform these functions, with or without reasonable accommodation?*
  • NAPA Automotive Technician applicants are required to successfully complete a pre-employment drug screening and, where applicable, a background check and motor vehicle record review. Maintaining a place in the class and future employment may also be subject to routine drug and alcohol testing. Are you willing to comply with these requirements?*
  • Welding positions may require regular travel to various customer, construction, or job sites, including locations that may not be readily accessible by public transportation. Do you have reliable transportation to report to these locations as scheduled?*
  • Working as an welder requires regularly lifting, carrying, pushing, and pulling parts, tools, and equipment weighing up to 50 pounds. Are you able to perform these functions, with or without reasonable accommodation?*
  • Welding applicants are required to successfully complete a pre-employment drug screening and, where applicable, a background check. Maintaining a place in the class and future employment may also be subject to routine drug and alcohol testing. Are you willing to comply with these requirements?*
  • What is Your Ethnicity?*

  • Race

    Please choose all that apply
  • US Citizen*
  • Are you authorized to work in the US?*
  • Highest Level of Education*
  • Have You Served in the US Military?*
  • Are You Disabled?*
  • Do You Receive Public Benefits?*
  • Have You Been Convicted of a Felony?*
  • Gender*
  • Are you currently employed?
  • Should be Empty: