Youth OJT Application : Employment Opportunities : Lincoln Manufacturing Council

Name

First Name *

Last Name *

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Phone Number

Email Address

Age

Gender and Pronouns

Are you registered in the selective services?

Male only

On a scale of 1-5 with 5 being extremely interested and 1 being not at all, how interested are you in a career in manufacturing?

How did you hear about the program?

What is the highest level of education you have completed?

Please describe your past work experience.

Include company name, location, position, and when you held the job.

In three to four sentences, why are you interested in this program?

Are you legally authorized to work in the United States?

Do you or your family receive SNAP or TANF benefits?

Do you currently receive free or reduced lunch through Lincoln Public Schools?

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Have you ever been diagnosed with a physical or mental disability?

Includes anxiety, depression, PTSD, etc.

Is English your first language?

Are you pregnant or parenting?

Have you ever been convicted of a crime?

Are you currently unhoused?

Are you currently exploring any other barriers to employment not listed here?

If yes, please explain.