BRIDGES TO WORK II

BRIDGES TO WORK
TO JOIN THE PROGRAM, YOU MUST:
1) You have Work Authorization in US

2) You are looking for a full-time job

3) Be a Philadelphia resident

4) Speak basic conversational English
CONTACT INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
TELL US ABOUT YOURSELF
With what gender do you closely identify?*
What is your Date of Birth?*

MonthDayYear
Date
Where were you born?*
What is your religion?*
How do you describe yourself or identify?*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMiddle Eastern or North African (MENA)Native Hawaiian or Pacific IslanderWhiteDo Not Wish to DiscloseOther (please write below)
Other Race:
With what origin do you closely identify?*
FAMILY AND LIVING
When did you come to The United States?*

MonthDayYear
If you cannot remember, please mention the date with your best idea.
How many children 17-years or younger live with you?*
How many other people, 18-years or older, live with you? (DO NOT count yourself)*
What is your marriage status?*
LANGUAGE AND EDUCATION
What language did you speak at home when you were a child? (The language you spoke the most)*
What other languages do you speak?
How well do you SPEAK English?*
Don't think about writing or reading, just speaking.
What is your highest level of education?*
WORK AND INCOME
What is your current Employment status?*
How much money did you make last year?*
Please give your best idea in US dollars
If there are other people who make money in your house, how much money did everyone in your house make, including you?*
Please give your best idea in US dollars
Do you get any money or help from the government?*
How did you hear about TWC?*
Do you currently live in Philadelphia?*
What is your current hourly wage?*
How many hours do you work per week?*
Salary expectations or desired income:*
What is the industry of your preferred profession?
Other Industry:
Industry preferred profession SF
Career Goals in USA:*
Are you affiliated with any public school in Philadelphia or the School District of Philadelphia in any of the roles listed below? (You may select more than one).*

Parent or grandparent of a public school studentPublic school studentFaculty or staff member of a public school or the School District of PhiladelphiaNone of the above
Anything else you want to share about yourself?*
Form Filled
Should be Empty:

BRIDGES TO WORK

TO JOIN THE PROGRAM, YOU MUST:

CONTACT INFORMATION

TELL US ABOUT YOURSELF

FAMILY AND LIVING

LANGUAGE AND EDUCATION

WORK AND INCOME