CAP Application
The  Chatham Apprentice Program (CAP) is a cornerstone workforce development program targeting those who are unemployed and underemployed in Chatham, Effingham, Liberty, and Bryan counties with services and training aimed at helping them become stabilized in employment. The program includes hard and soft skills training coupled with wrap-around services. Apply today using the form below.
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Please choose a preferred location for in person learning: *
Which class are you interested in: *
First Name: *
Middle Name: *
Last Name *
Birth Date *
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Home Address  *
Mailing Address (if different from home)
Apartment/ Unit #
City: *
State: *
Zip Code: *
Email: *
Phone Number: *
What is your race? *
What is your current gender identity? *
Are you a citizen of the United States?
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If no, are you authorized to work in the United States?
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Are you a veteran? *
How did you hear about the Chatham Apprentice Program (CAP)? *
Applicant's marital status: *
What is the primary language spoken in your household?   *
Emergency Contact: Please list a relative or friend who would definitely know how to contact you, even if you move. (Name and Phone) : *
Do you have a High School Diploma/GED? *
What is the highest degree or level or level of school you completed?  If currently enrolled, the highest degree received. *
Required
Please list any credentials you have: *
Do you / your family have any special needs staff should know about? *
Do you or someone in your household receive any of the following? (Please check all that apply)  *
Required
Please check the amount closest to your yearly income: *
Required
Are you currently employed? *
How many months have you worked in the past year? *
Name of Company *
Status: *
Required
What is the start date of the current job?
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What is the end date of the current job?
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Rate of Pay: (Current Job)
Reason for leaving the current place of employment.
Name of Company
Status: *
Required
What is the start date of the previous job? *
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What is the end date of the previous job? *
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Rate of Pay: ( Previous Job) *
Reason for leaving the previous job: *
What job skills do you have? ( Please check all that apply) *
Required
What Credential Are You Interested In? *
Please write at least THREE COMPLETE SENTENCES explaining your goals for this program *
Which of the following reasons have prevented you from steady employment? Please check all that apply *
Required
Have you ever been convicted of a felony? *
Do you currently have pending charges? *
Are you a registered sex offender? *
Are you currently on probation or parole? *
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