MNEnergy | Julius

Veteran Status

Are you a veteran of the United States military? *

Yes

I am the spouse of a veteran

If YES, Active Start Date

Active End Date

Branch of Service

War/Campaign

Job Title

Type of Discharge

I certify that the information is true to the best of my knowledge. I am aware that the information I provide is subject to review and certification and I may have to produce documents to support this application. I am also aware that I am subject to termination if I am found ineligible after enrollment and may be prosecuted for fraud and/or perjury. I allow release of this information for verification purposes and understand that it will be used to determine eligibility.

Are you a US Citizen *

If NO, are you authorized to work in the United States?

Gender *

Race/Ethnicity of the applicant (check all that apply):

Are you Hispanic or Latino? *

Are you a veteran of the United States military? *

Which of the following describes your living situation?*

Do you receive any of the following? (check all that apply)

What is the highest level of education you've completed? *

Are you currently attending school? *

If YES, what kind of school are you attending?

Do you have a disability? *

What is your employment status? *

If you are unemployed, do you receive Unemployment Insurance Benefits?

Have you been unemployed 15 weeks (3.75 months) or more of the past 52 weeks (12 months)? *

Have you ever been convicted of a crime or a felony? *

Do you have a Minnesota Driver's License? *

If NO, do you have any barriers to obtaining one such as fees, fines, etc.?

Do you have reliable transportation? *

Are you enrolled in any other construction training programs? *

Do you have any outstanding debt to any Minnesota State Colleges or Universities? *

Are you willing and able to pass a drug screening? *

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Applicant Demographic Information

Are you a US Citizen *

If NO, are you authorized to work in the United States?

Gender *

Race/Ethnicity of the applicant (check all that apply):

Are you Hispanic or Latino? *

Veteran Status

Are you a veteran of the United States military? *

Benefits and Eligibility

Which of the following describes your living situation?*

Do you receive any of the following? (check all that apply)

Education and Employment History

What is the highest level of education you've completed? *

Are you currently attending school? *

If YES, what kind of school are you attending?

Do you have a disability? *

What is your employment status? *

If you are unemployed, do you receive Unemployment Insurance Benefits?

Have you been unemployed 15 weeks (3.75 months) or more of the past 52 weeks (12 months)? *

Have you ever been convicted of a crime or a felony? *

Program Questions

Do you have a Minnesota Driver's License? *

If NO, do you have any barriers to obtaining one such as fees, fines, etc.?

Do you have reliable transportation? *

Are you enrolled in any other construction training programs? *

Do you have any outstanding debt to any Minnesota State Colleges or Universities? *

Are you willing and able to pass a drug screening? *