Program Application
San Francisco Heavy Equipment & Trucking Academy - Please answer all questions marked with an asterisk (*). Answer all other questions to the best of your ability. There are no right or wrong answers—we want to understand your situation and goals. All information is kept strictly confidential and used only for program administration and grant reporting. Questions? Contact us at info@sfheatacademy.com
Full Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about SF HEAT?
Friend or Family Member
Workforce Development Center
Community Organization
Social Media
Flyer or Poster
Probation/ Parole Officer
School or Training Program
Employer
Other
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Background & Demographics
This information helps us understand who we serve and fulfill grant reporting requirements. You may decline to answer any question.
Gender Identity
Man
Woman
Non-binary/ Gender non-conforming
Prefer to self-describe
Prefer not to say
Race / Ethnicity (select all that apply)
Black or African American
Asian
Native American or Alaska Native
Hispanic or Latino/a/x
Pacific Islander
White or Caucasian
Multiracial / Two or more races
Prefer not to answer
Other
Are you a San Francisco Resident?
Yes
No
If yes, which San Francisco district or neighborhood do you reside?
District 5 (Fillmore, Western Addition)
District 6 (SOMA, Tenderloin)
District 9 (Mission, Bernal Heights)
District 10 (Bayview, Hunters Point, Visitacion Valley)
District 11 (Exelsior/ Outer Mission)
Other SF District / Neighborhood
Highest Level of Education Completed
Some High School (no diploma)
High School Diploma or GED
Some College (no degree)
Associate Degree
Bachelor's Degree
Graduate Degree
Vocational / Trade Certification
Other
Veteran Status
Currently Serving
Veteran
Not a Veteran
Prefer not to Say
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Employment and Income
Tell us about your current work situation. This helps us match you with the right support services.
Current Employment Status
*
Unemployed - actively looking
Unemployed - not currently looking
Employed Part-Time
Employed Full-Time
Self-Employed or Gig Work (i.e. Uber/Lyft)
Current Occupation (If employed, briefly describe your work)
Annual Household Income (Approximate)
Under $15,000
$15,000 - $25,000
$25,000 - $35,000
$35,000 - $50,000
$50,000 - $75,000
Over $75,000
Prefer not to say
Do you currently receive any or the following? (select all that apply)
CalFresh (SNAP / Food Stamps)
CalWORKs
Medi-Cal
Unemployment Insurance (UI)
SSI / SSDI
None of the above
Are you a member of a construction or trade union?
Yes - active member
Yes - inactive member
No
If yes, which union?
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Driving Record & Licenses
A clean driving record is preferred but not required. Please be honest—we will review DMV records as part of the enrollment process. Prior violations do not automatically disqualify you.
Do you have a current California Driver’s License?
*
Yes - valid
Expired
Suspended / Revoked
No
Driver's License Number
License Class (A, B, or C)
License Expiration Date
How many years have you been licensed?
Do you have a commercial Driver's License (CDL)?
Yes - Class A
Yes - Class B
No
Traffic Violations in the Past 5 Years
None
1 - 2 minor violations
3 or more violations
DUI / DWI
Please describe any violations, suspensions, or driving-related incidents (If none, leave blank. Honesty is appreciated.)
I authorize SF HEAT to conduct a DMV driving record check as part of my application (selecting “yes” is required to move forward.)
*
Yes, I authorize this check
No
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Motivation & Goals
There are no right or wrong answers here. We want to understand your goals and how SF HEAT fits into your story.
Why do you want to participate in the SF HEAT program? Tell us in your own words what brings you here?
*
What is your career goal after completing this program? Where do you see yourself in 1–3 years?
*
Do you have any prior experience in construction, driving, or heavy equipment?
*
Yes - significant experience
Yes - some experience
No prior experience
If yes — please describe your experience
On a scale of 1–10, how motivated are you to complete this program? (1 = Not sure yet — 10 = Absolutely committed)
*
10
9
8
7
6
5
4
3
2
1
Is there anything in your background or current situation that may impact your ability to complete the program? (Optional — this helps us identify support services for you)
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Availability & Commitment
The program requires consistent attendance. Please be honest about your availability — this helps us place you correctly.
Classes are Monday thru Friday, 8AM - 12PM. Are you able to commit to attending 5 days per week for the full 10-week program?
*
Yes, fully
Mostly - with some conflicts
Unsure
Do you have reliable transportation to the training site?
*
Yes - own vehicle
Yes - public transit
Sometimes
No - need support
Do you have childcare responsibilities that could affect your attendance?
*
No
Yes - I have coverage
Yes - I need support
Are you currently employed in a position that would conflict with program hours?
*
No conflict
Some potential conflict
Not currently employed
Is there anything else that might affect your ability to participate? (Housing instability, health concerns, legal obligations — this info is confidential and used only to connect you with support)
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Additional Information
A few final questions to complete your application.
Justice System Involvement (This information is kept strictly confidential. Prior justice system involvement does not disqualify you.)
No involvement
Past involvement - fully completed
Currently on probation or parole
Prefer not to say
Emergency Contact
*
First Name
Last Name
Relationship
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
To help us ensure your safety, do you have any physical limitations or medical conditions we should be aware of?
Do you have any safety concerns, past or present, related to geography or are their neighborhoods in San Francisco you do not feel safe going?
Is there anything else you’d like us to know about you or your application?
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Consent, Release & Signature
Please read each statement carefully and sign below.
Program Participation Agreement: I understand that acceptance into the SF HEAT program is competitive and that submitting this application does not guarantee enrollment. I agree to notify SF HEAT if my availability or circumstances change prior to the program start date. I understand that this program does not guarantee employment upon completion. I acknowledge that my success depends on my own commitment, effort, and follow-through. I agree to attend all scheduled sessions to the best of my ability, participate actively, and treat all program staff, instructors, and fellow participants with respect.
*
Yes
No
Information ReleaseI authorize: SF HEAT and its workforce development partners to use the information provided in this application for program administration, grant reporting, and outcome tracking purposes. My information will not be sold or shared with third parties outside of program operations without my written consent. I authorize SF HEAT to conduct a DMV driving record check as part of the enrollment process (if I have indicated consent in Section 4).
*
Yes
No
Media & Outreach Release: I give SF HEAT permission to use photos, videos, or quotes from my time in the program for marketing, outreach, grant reporting, and community storytelling purposes.
*
Yes - with my name
Yes - anonymously only
No - I decline
By signing below, I certify that all information provided in this application is true and accurate to the best of my knowledge.
*
Print Full Legal Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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