Do you have a disablity?

No         Yes         Yes, service connected     

 If service connected, rated % by the VA

I need help with the following in order to find a job : (Mark all that apply)

More education    Computer Skills    Job search methods   Childcare

Self-marketing     Interviewing skill help        Resume help

Help converting my military skills to civilian skills   Federal job application help

I believe the following issues have interfered with finding employment or staying employed: (Mark all that apply)

Physical disability      Health problems     Substance abuse

Discrimination (age, race, gender, etc.)          Lack of computer skills

No tools      No driver's license         Lack of work experience

Felony conviction     Mental health issues        Lack of civilian work experience

Lack of transportation     Lack of job skills        Lack of certification or license

If any of the following categories apply, you may be eligible for additional programs :
(Mark all that apply)

Self-employed      Laid-off due to no fault of your own        Low income

Unlikely to return to previous occupation    Laid-off due to facility closure

Homeless        Food stamp recipient      Long-term unemployed   

Ex-offender

Please list your employment goals or desires:

What is the lowest starting pay you are willing to work for?   

$ per Select one hour week month year