Good Jobs Challenge Grant - Application

Good Jobs Challenge Grant

The Good Jobs Challenge Grant provides short-term training in transportation & logistics and healthcare. We have training providers throughout Missouri ready to help you achieve your career goals.

Upon completing this application, you will receive communication from staff detailing your next steps within five business days. Please visit https://app-jobs.mo.gov/vosnet/Default.aspx to register with MOJOBS (our support website) and upload your resume. By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.

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* 1. Name & Address

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Last Four of your Social Security Number

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* 3. Do you have a Jobs.Mo.Gov account? If you do not have an account one will be required to move forward with this application. Go to: https://app-jobs.mo.gov/vosnet/Default.aspx

Yes

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* 4. Race/Ethnicity

White

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 5. Family Size?

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* 6. Amount of Household Income for the last 6 months.

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* 7. Have you or anyone in your household received SNAP benefits in the last six months?

Yes, someone has

No, no one has

Not sure

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* 8. Is the person going into training currently employed?

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* 9. If so who is the employer?

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* 10. What is the current hourly wage for person going into training?

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* 11. Area of Interest

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* 12. Do you know what program you are interested in?

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* 13. Do you know what Training Provider provides this training?

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* 14. Do you know the cost of the training? Amount?

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* 15. County of Residence

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* 16. Veteran

Yes

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* 17. Are you the spouse of a veteran?

Yes

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* 18. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 19. How did you hear about us?

Social Media

Job Center

Word of Mouth

Franklin Tech

Crowder College

Mssu

Mercy Hospital

Freeman Hospital

Truck Dynasty Driving Academy

Clement Trucking

C-1 Trucking

A&B CDL/Brink

Other (please specify)

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* 20. I understand I must bring a photo ID, Social Security Card, Birth Certificate, and verification of address and income to appointment.

Agree

Disagree