CEJA Intake Form

    Welcome to the CEJA Application Form. This is the first step in the CEJA Application. By completing this form, we will be able to determine if you meet the eligibility requirements for the CEJA Program. If it is determined you are an eligible applicant, you will be invited to complete the last parts of the CEJA application, which include  a Parkland College application, a Financial Aid application, an interview, and the required academic assessments.
     

    Illinois workNet helps people reach their training, employment, and career goals.

    This application contains voluntary questions to help determine if you are eligible for additional services. This information will be kept confidential and is intended for use solely in connection with record-keeping requirements and to help you identify additional resources that can assist you, including by sharing your information with other workforce training service providers for programs that may best suit your needs, including, but not limited to, the following programs: the Workforce Innovation and Opportunity Act (WIOA), the Climate and Equitable Jobs Act (CEJA), the Illinois Works Pre-Apprenticeship Program and the Job Training and Economic Development Grant Program (JTED). You will not be penalized for your refusal to answer.

    Individuals completing this application will receive updates and information to help them reach their career, training, and employment goals. By completing the application, you agree to allow career planners to review your information for potential participation and certify that the information you entered is accurate to the best of your knowledge.


    Please note:
    Completing the SWFT Application does not guarantee that you will be accepted to the SWFT program. It is important that you answer all questions to the best of your ability, as you will be asked to provide verification of your answers if you are accepted to the SWFT program.

    If you have questions about the application process you can visit www.parkland.edu/swft or please contact the Support for Workforce Training Office at swft@parkland.edu or 217/353-2150.

     
    Name and Contact Information
    Birthdate
    Birthdate
    Residential Address
    Residential Address
    Are you a Current Parkland Student?
    Are you a Current Parkland Student?
    Is English your first language?
    Is English your first language?
    Race and ethnicity (Select all that apply):
    Race and ethnicity (Select all that apply):
    Gender
    Gender
    Are you a SNAP recipient?
    Are you a SNAP recipient?
    If you have school age children, do they receive free/reduced price lunch at school?
    If you have school age children, do they receive free/reduced price lunch at school?
    Other Information

    Have you had prior involvement in the criminal legal system?*

    Have you had prior involvement in the criminal legal system?*

    Have you ever been incarcerated for a felony or misdemeanor? 
    Have you ever been incarcerated for a felony or misdemeanor? 

    Are you a graduate of foster care or currently in foster care?*

    Are you a graduate of foster care or currently in foster care?*

    Are you a displaced energy worker?*

    Are you a displaced energy worker?*

    Do you have other barriers to employment?( Legal issues, language barriers, low test scores, housing insecurity, transportation issues, physical health, mental health, substance abuse issues)
    These barriers will not disqualify you from the program. 
    Do you have other barriers to employment?( Legal issues, language barriers, low test scores, housing insecurity, transportation issues, physical health, mental health, substance abuse issues)
    These barriers will not disqualify you from the program. 
    Veteran Status 
    Veteran Status 
    CEJA Certificate Program Preference

    Are you interested in working in construction or the building trades?*

    Are you interested in working in construction or the building trades?*

    Are you interested in working in the clean energy field? There are several career paths available, such as becoming a solar installer, wind turbine technician, or insulation installer?

    Are you interested in working in the clean energy field? There are several career paths available, such as becoming a solar installer, wind turbine technician, or insulation installer?

    Which of the following clean energy industries are you interested in learning more about?*

    Which of the following clean energy industries are you interested in learning more about?*

    After receiving bridge training, participants will then begin certificate training and or join an apprenticeship, 
    Apprenticeships are  training program that combines paid on-the-job training with classroom instruction to prepare people for careers in a specific trade or profession.
    Are you interested in applying for an apprenticeship program?
    After receiving bridge training, participants will then begin certificate training and or join an apprenticeship, 
    Apprenticeships are  training program that combines paid on-the-job training with classroom instruction to prepare people for careers in a specific trade or profession.
    Are you interested in applying for an apprenticeship program?
    The time commitment for the CEJA bridge training will be approximately 20 hours per week for at least 6 weeks. Are you willing and able to put in the time required by this program?
    The time commitment for the CEJA bridge training will be approximately 20 hours per week for at least 6 weeks. Are you willing and able to put in the time required by this program?

    Please submit a 150 word essay for each question below.

    Answer the questions with as much detail and information that you can provide in 150 words.

    Please note: It is recommended that you use a computer to complete this essay so that you can use proper capitalization and punctuation, easily format the questions, and edit your content. It is also recommended that you type your answer in a document and then copy and paste your answer into the text box.


    If you have questions about the essay or need assistance in typing it, please contact the SWFT office at swft@parkland.edu or at 217-373-2150. We are here to help you, please call for any reason at all.

    We have computers you can use in the SWFT + Adult Education Center at Parkland College located in D120. The Center is open Monday-Friday 8:00am to 5:00pm.

    Essay Question #1:

    Why are you interested in applying for the bridge training program? What is your career goal? 
    Please answer with at least one paragraph.

    Education Information

    Do you have a high school diploma, General Education Development (GED) certificate, or High School Equivalency Diploma (HiSED)?*

    Do you have a high school diploma, General Education Development (GED) certificate, or High School Equivalency Diploma (HiSED)?*

    What is your highest level of education?
    What is your highest level of education?

    Do you need any accommodations to complete this prescreening or application (e.g. translation services, audio/visual accommodations, etc.)*

    Do you need any accommodations to complete this prescreening or application (e.g. translation services, audio/visual accommodations, etc.)*

    Employment Information
    Are you eligible to work in the United States?
    Are you eligible to work in the United States?
    What is your current employment status?
    What is your current employment status?
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