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How can we reach you?

Please enter your first and last names:
First Name: * Required
Last Name: * Required

What is your preferred language for receiving services?* Required

English

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Other

What are your preferred pronouns? (for example, she/her, they, them, etc.)

Please provide your contact information:
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Email: Invalid Email

Workforce has physical locations in Boulder and Longmont and offers services virtually. Which do you prefer? Check any that apply. *
Please select at least one item.

Boulder location

Longmont location

Virtual meetings or phone calls

No preference

Tell us a little more about you.

Are you a veteran or a spouse of a veteran?* Required

Yes

No

What is your age range? * Required

14-15

16

17

18-24

25+

Workforce menu of services and supports

Here are the services Workforce has to offer. Please choose up to three services that are most interesting to you. We are excited to learn more about how we can help you!

I am looking for support with: *
Please select at least one and up to three items.

Job/career development (career exploration, job search, resume, LinkedIn, networking, interviewing, etc.)

Computer skills and experience

Budgeting, money management, credit, saving money, and banking

Funding for school (Get help accessing classroom and online training through outside providers in a range of industries. This is typically for short-term (under 18 months), career-focused trainings, but in some cases may cover college or other programs.)

Internships, apprenticeships, or on-the-job training (Gain work experience and training on how to do a specific job. May be paid or unpaid.)

College prep (Help with applications, financial aid, navigating college systems, preparing for college, etc.)

High School Equivalency Diploma (For people 16+ who are interested in earning their high school equivalency diploma with one-on-one, ongoing support. Eligibility requirements apply.)

Other

What is your employment or educational goal? * Required


Who are you working with?

How did you find out about this form? Select all that apply. *
Please select at least one item.

Case manager or community partner

My school or college

My school counselor

Boulder County Website

Social Media (Facebook, LinkedIn, NextDoor, etc.)

Workforce Boulder County

Brochure/flier

Friend/family

Community Presentation

Other

Are you working with any community programs? Select any that apply. *
Please select at least one item.

Veterans’ Services

Colorado Works/TANF

Employment First

Food Assistance (SNAP)

Division of Vocational Rehabilitation (DVR)

Front Range Community College (FRCC)

Boulder Enhanced Supervision Team (BEST)

Probation

Other (For example: Boulder Valley Family Literacy, School to Work Alliance Program (SWAP), Family Self-Sufficiency Program (FSS), Sister Carmen Community Center, Emergency Family Assistance Association (EFAA), OUR Center, Intercambio, El Comite, Centro Amistad, CHAFEE, Mental Health Partners, GENESIS, etc.)

None

Did anyone help you complete this form? * Required

Yes

No

Any additional information you’d like us to know?


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