BUILDING A RESILIENT WORKFORCE TRAINING PROGRAM
The Empowerment Center is accepting enrollments for our Building A Resilient Workforce Training Program. If you employ, house, or serve under-resourced communities, this program is for you! TEC's evidenced-based training program is designed to create a resilient workforce to enhance program delivery and improve the lives of youth and families. This program includes our Mental Health Community Health Worker Training, Trauma-Informed Service Delivery Training, and our Strengths-Based Employer Employee Partnership Training. Please complete and submit enrollment form below to participate in our Spring 2024 training cohort.
Participant Information
Participant Name
*
First Name
Middle Name
Last Name
Preferred E-mail Address
*
example@example.com
Mobile Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Please Select
Female
Male
Decline to state
Birth Date
*
Please select a month
January
February
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April
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June
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Month
Please select a day
1
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Please select a year
2024
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Year
What is your preferred language?
*
Please Select
English
Spanish
Other
What is your race/ethnicity?
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Click to select all that apply.
What underserved population do you represent or work with?
*
Youth (18-24)
Foster Youth and Aging-Out Foster Youth (18-24)
Individuals with Disabilities
Indigenous & Tribal Communities
Veterans
Justice-Involved Individuals
Unemployed Individuals
English-Learning Individuals
Unhoused/Housing Insecure
Single Parents (16-24)
Other
Referral Organization
What organization do you represent or referred you to this program? Who will be your mentor throughout the duration of the 12-week training? (All participants are required to have a program mentor.)
Organization Name:
*
Organization Website:
Mentor Full Name:
*
Mentor Phone Number:
Mentor Email:
What sector(s) do you or your organization represent?
*
Please Select
Employers
Employees / Worker Representative / Union / Labor
Non-Profit / Grassroots / Community Based Organization
Educational Institution
Real Estate & Housing Providers
Community Government / Municipality
Business
Healthcare
Human and Social Service Providers
Law Enforcement & Justice System
Faith-Based Organization
Other
Education & Employment Experience
What is your highest level of education completed?
*
Please Select
Middle School
Some High School
High School Diploma / GED
Vocational / Trade School
Some College Education (less than 2 years)
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
Are you a Mental Health intern or clinician in need of clinical hours?
*
Please Select
Yes
No
If yes, what is your clinical area of focus?
Please Select
Marriage and Family Therapist (MFT)
Masters in Social Work (MSW)
Masters in Counseling (MA)
Associate Professional Clinical Mental Health Counseling (APCC)
Associate Marriage and Family Therapist (AMFT)
Associate Clinical Social Worker (ACSW)
Other
N/A
Are you currently employed?
*
Please Select
Yes, I work full-time.
Yes, I work part-time.
No, I am not employed.
Company
Work Number
What is your current employment position?
*
Are you a student and enrolled in high school, college, or training program?
*
Please Select
Yes, I am a full-time student.
Yes, I am a part-time student.
No, I am not a student.
Where would you like to work in 6-months after the completion of this training?
*
How many years of volunteer experience do you have?
*
What companies or organizations have you volunteered with?
*
Please describe your volunteer duties and experience with serving the community.
*
Training Information
The Building a Resilient Workforce Training Program has a tuition cost of $9995.00 per participant. How will you be funding this training program?
*
Please Select
I am funding this training through Self-pay/Employer pay.
I am requesting a grant-funded scholarship.
All scholarship requests will be reviewed by our Program Team. Please answer the next two questions for scholarship consideration.
What is your annual income level?
*
Please Select
Less than $10,000 per year
$10,000 - $25,000 per year
$25,000 - $50,000 per year
$50,000 - $75,000 per year
$75,000 - $100,000 per year
More than $100,000 per year
Declined to state.
How many individuals are currently living in your household?
*
Please Select
1 (self)
2
3
4
5
6
7
8
9
10 or more
Decline to state
This Training Program is 12-weeks in length and includes weekly LIVE and Self-Paced virtual instruction. All applicants must complete the 12 weeks and fully participate in classroom activities, discussions, and assignments. Are you willing to complete the training?
*
Please Select
Yes
No
This Training Program is offered virtually and requires full access to technology in order to participate and successfully complete the coursework. Please select the option that best describes your technology access.
*
Please Select
Yes, I have access to a wifi and a working computer with a camera and microphone to complete this virtual training.
No, I do not have access to wifi and a working computer with camera and microphone to complete this virtual training.
If you selected "No" in the previous question, please describe you need for technology assistance.
*
I need internet access.
I need a computer with a webcam and microphone.
I need a quiet place to complete this virtual training.
I need technology assistance (typing, Microsoft Office help, email, etc.) to complete this course.
I do not need technology assistance.
How did you hear about this training program?
*
Please Select
Social Media
Search Engine
Referral from Employer
Referral from Friend or Family Member
TEC Workforce Convening Event
Other
What is the name of the person that referred you to this program?
*
Which training cohort are you interested in participating in?
*
Spring Training Cohort #1: Start: April 3, 2024 - End: June 19, 2024
Summer Training Cohort #2: Start: May 1, 2024 - End: June 19, 2024
Fall Training Cohort #3: Start: August 11, 2024 - End: October 20, 2024
Why do you want to complete this training program?
*
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www.theempowermentcenterintl.com | (800) 231-7741
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