Hospitality Program Application Form Page 2

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HOSPITALITY
JOB TRAINING PROGRAM
APPLICATION FORM
Name:
Phone Number:
How did you learn about this training program?
Current Employment
Not Employed
Employed Full Time
Employed Part Time
Employer Name:
Current Wage:
Future Employment Goals
Full Time
Part Time
Available Hours:
Desired Salary Range:
Desired Employer Location
Chesapeake
Virginia Beach
Norfolk
Virginia Beach Oceanfront
Portsmouth
Other
Potential obstacles to employment
Child Care
Criminal Background
Transportation
Other
Why do you want to work in the hospitality industry?
Do you have any prior experience in the hospitality industry?
Yes
No
If yes, years and type of experience:
To be completed by Employment Specialist
1. Accepted to Hospitality Jobs Training Program:
Yes
No
Pending
a. Notification Date:
b. Program Start Date:
2. Referral for additional services:
3. Notes:

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