GOT JOBS AMERICA — Program Registration

You're registered!

Thank you — your registration is complete. Please write down your reference number below. A GOT JOBS America navigator will contact you soon to set up your first meeting and go through your next steps.

REF: GJA-XXXX

Questions? Call or text: (773) 610-5631

Personal Information

Your basic contact details

First Name *

Required

Last Name *

Required

Date of Birth *

Required

Gender Identity (optional)

Phone Number *

Required

Email Address (optional)

Street Address *

Required

Emergency Contact Name & Phone *

Required

Which GJA Program Are You Joining? *

Required

How did you hear about us? (optional)

Please complete all required fields.

Career Goals & Interests

Tell us what kind of work you're looking for

What career areas interest you most? Select all that apply. *

Solar installation

Electrical trades

HVAC

Construction / carpentry

Plumbing

Welding

Logistics / warehousing

Transportation / driving

Manufacturing

Landscaping / groundskeeping

Security

Customer service

Food service / hospitality

Healthcare support

Office / admin

Technology / IT support

Please select at least one area.

Type of work *

Required

Work setting preference *

Required

Open to entry-level positions? *

Required

Short-term goal (next 6 months) (optional)

Long-term goal (1–3 years) (optional)

Please complete all required fields.

Skills, Experience & Certifications

What you already bring to the table

Highest education level completed *

Required

Which certifications do you currently hold? Select all that apply.

OSHA-10

OSHA-30

NCCER Core

NCCER Solar PV

NCCER Plumbing

NCCER Electrical

CDL — Commercial Driver

Forklift certified

First Aid / CPR

NABCEP Solar Associate

ServSafe

CompTIA IT+

None yet / Ninguna aún

Previous work experience (last 2 jobs or most relevant) (optional)

Any special skills or abilities we should know about? (optional)

Please complete all required fields.

Schedule & Availability

When you're available to work

Days available to work — select all that apply *

Monday / Lunes

Tuesday / Martes

Wednesday / Miércoles

Thursday / Jueves

Friday / Viernes

Saturday / Sábado

Sunday / Domingo

Please select at least one day.

Preferred shift *

Required

Transportation *

Required

Geographic restrictions — areas you cannot travel to for work (optional)

Are you currently employed? *

Required

Any scheduling conflicts we should know about? (optional)

Please complete all required fields.

Support Needs & Barriers

This helps us connect you with the right resources

This information is confidential. It helps GJA connect you with wraparound support services before you start working.

Which of the following are currently a challenge for you? Select all that apply.

Housing instability

Childcare

Transportation

Phone access

Work clothing / PPE needed

Tools or equipment needed

ID or documentation gaps

Legal obligations (probation, parole)

Mental health support needed

Substance recovery support

Language barrier

None of the above

Housing status *

Required

Justice involvement

If released from incarceration — when were you released? (if applicable)

Do you have an active child support obligation?

Monthly child support amount (optional)

Do you currently reside in the south suburbs of Chicago? (if not pursuing Illinois Works Pre-Apprenticeship)

Anything else that might affect your ability to work or attend training? (optional)

Please complete all required fields.

Review & Submit

One last step to finish your registration

You're almost done. After you submit, a GOT JOBS America navigator will reach out to set up your first meeting. You'll go over your Work Opportunity Tax Credit (WOTC) together then — there's nothing more you need to do right now.

Anything else you'd like your GJA navigator to know? (optional)

I confirm this information is accurate to the best of my knowledge. *

Please complete all required fields.

Your path to meaningful work starts here.

You're registered!