Workforce Interest Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.County *Please select your countyAshtabulaCuyahogaFairfieldFranklinGeaugaLakeLorainMahoningMedinaPortageStarkSummitTrumbullTuscarawasAre you interested in *Job Training and/or GEDWorkshops & ProgramsAre you interested in... *WorkshopAge Group *14-1718-24Are you currently in recovery for a substance use disorder?YesNoPlease select all that you are interested inJuvenile Justice (for youth 14-20, referred by Juvenile Court or Probation Officer)Personal Responsibility Education Program (PREP); available in select counties in Northeast OhioBridges Out of Poverty workshops; available in select counties in Northeast OhioR Rules curriculum programsName *FirstLastBirthday *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone *Email *Zip Code *How did you hear about our program? *SelectFlyerWebsiteRadio AdSocial MediaCommunity OrganizationCourt/Parole OfficerFamily or FriendOhioGuidestone EmployeeWorkforce 360° ParticipantOtherIf other, please explain *Submit
