MD Resident past three months*:

Are you over 16 years old?*:

Gender:

Veteran:

Veteran Spouse:

Ethnic Group:





Are you currently enrolled as a student at FCC?*:

Are you unemployed?*:

Defined as: an individual who is without a job and who is seeking employment and is available to work.
Are you underemployed?*:

Defined as: an individual who (a) is not currently connected to a full-time job commensurate with their level of education, skills, or wage/salary earned previously, or (b) has obtained only episodic, short-term, or part-time employment over the past year.
Are you an incumbent worker?*:

Defined as: an employed individual who needs training to advance or retain employment. Note: A letter from current employer is required.
Which track(s) are you interested in?*:


Academic accomplishments*:






I attest that all of the information provided in this application is accurate and agree to provide, as required, documentation to this effect. I further understand that as part of the intake process I must agree to a background check, take any computer skills assessments required, and that if accepted into the program, agree to provide documentation to Frederick County Workforce Services to determine eligibility for Workplace Innovation and Opportunity Act funding.


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