Pre-Screen

MUST BE 16-24 years of age

NAME: *

ADDRESS:

PHONE: *

EMAIL: *

BIRTHDATE: *

Veteran

Lack of GED or High School Diploma

Eligible to receive or are receiving unemployment benefits

Receiving TANF

Exhausted unemployment benefits

Receiving food stamps

Laid off from a permanent full-time position

Homeless

Unemployed for more than 27 weeks

Seasonal farm worker

Unemployed for more than 12 months

Displaced Homemaker

Limited English Proficiency

Non-custodial parent

QUESTIONS/COMMENTS:

Administration Office Other Offices

People For People is an equal opportunity employer and provider of employment and training and other services. It is People For People’s policy to assure that no person shall, on the grounds of race, color, national origin, or sex, as provided by Title VI of the Civil Rights Act of 1964, be excluded from participation in, be denied the benefits of, or be otherwise discriminated against under any of its federally funded programs and activities. Any person who believes his/her Title VI protection has been violated may file a complaint with People For People’s Human Resource Coordinator. For additional information regarding Title VI complaint procedures and/or information regarding our non-discrimination obligations, please contact the Human Resource Coordinator 509-248-6726. This material can be made available in an alternate format by emailing People For People’s Human Resource Coordinator at jrodriguez@pfp.org or by calling 509-248-6726. Persons who are deaf or hard of hearing may make a request by calling the Washington Relay Service at 711.