Training Funds Interest Form

(For residents of El Paso & Teller Counties only)

First Name *

Last Name *

Phone Number *

Last 4 of SSN *

Email address *

Were you referred to us by an outside organization? *

Yes

No

If Yes, enter the organizations name below. *

Do you have a specific training in mind? *

Yes

No

Name of training. *

Here is a link with info on a variety of training programs to choose from - https://www.cotrainingproviders.org/#/

Are you currently unemployed? *

Yes

No

Have you been or are you about to be laid off? *

Yes

No

Does your household receive public assistance? (select at least one) *

What is your Citizenship Status? *

US Citizen

Registered Alien

Refugee

Are you a Young Adult? (16-24 years old) *

Yes

No

Are you a veteran, active military, or a spouse? *

Yes

No

Select all that apply. *

Veteran

Veteran Spouse

Active Military

Military Spouse

Do you have a Connecting Colorado account? *

Yes

No

https://connectingcolorado.com

Auxiliary Aids/Services or Modifications

Anyone who requires an auxiliary aid or service for effective communication, or a modification of policies or procedures to participate in a service, program, or activity of PPWFC, should contact Steven Orzech as soon as possible (but no later than 48 hours before the scheduled event) at 719-337-8660 or stevenorzech@elpasoco.com. You can also make your request electronically at https://ppwfc.org/accessibility-to-services/

Language Services

Success of the Pikes Peak Workforce Center’s mission depends on accurate communication with members of the public, regardless of their level of English proficiency. On request, Language Assistance Services will be provided, at no cost, for those who are English Language Learners or have Limited English Language Proficiency. Please tell us your language or dialect. You can request Language Services by calling our Main office at 719-667-3700, completing the electronic form at https://ppwfc.org/language-services/ or in person at our Main office or satellite locations.

This is an interest form, not an application.

We will reach out to you within 2 business days.