Eligibility Form

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PROGRAM ELIGIBILITY APPLICATION

PLEASE NOTE -- At this time, we are only able to accept applications from residents in the 7 county metro area: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington counties in Minnesota.

Previous Application

If you previously applied in 2020 or later, do NOT submit this form. Instead, reach out to us at outreachteam@twincitiesrise.org to complete your enrollment!

Have you applied to Twin Cities Rise before 2020?

At what location did you previously apply?

What year did you previously apply?

Contact Information

First Name

Middle Name

Last Name

Preferred pronouns

Mobile Phone

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Landline Phone

Preferred Phone Number

Date of Birth (click for calendar)

Address of Residence

Street Address

Enter in your street address, as well as apartment or unit number. Example "123 Main St - Apt 2C"

City

State

Postal Code

What County do you live in?

Mailing Address - If different from above residence address

Address

Example "123 Main Street, Apt 2C"

City

State

Postal Code

Emergency Contact Person

This is someone who can get a message to you if we cannot reach you.

Emergency Contact First and Last Name

Emergency Contact Phone

Relationship

Relative, Spouse, Friend, etc.

Program Information

How did you hear about Twin Cities R!SE?

Please enter the name of the person or organization that referred you to TCR if applicable

Name of TCR Outreach Team

What program are you applying for?

Share the type of work or career you would like to be trained to do during the My Road to Success program.

What career fields are you interested in?

Use Ctrl or Cmd to select multiple options.

What technology do you have access to?

Verification of Eligibility

Our programs are available to participants of a variety of backgrounds. However, a few conditions need to be met in order to be eligible.

Please indicate whether the following statements apply to you:

I am 18 years or older.

Has your household income in the last 12 months been UNDER $60,000?

You will be asked after enrollment to provide income tax forms (or other statements) to document your income for the last year.

I am willing and able to work full-time in the State of Minnesota.

I am eligible to be legally employed in the United States now and for the next two years.

You will be asked after enrollment to provide documents proving your eligibility to work.

I am able to commit, on a daily basis, to the full program.

Candidates who have been convicted of a criminal sexual conduct or arson crime are not eligible for the TCR training program.

Please indicate whether the following statement applies to you.

I have been convicted of a Criminal Sexual Conduct or arson crime.

Attending an information session is required for admittance into our training programs.

I will attend an info session, if invited

Upon submission, you can no longer change this form. All information will be sent to Twin Cities R!SE for review.

Information contained on this pre-application will be used for determining eligibility for program admissions and marketing for other program services and will be kept confidential.

HIDDEN QUESTION retain for post covid life offering specific sessions. Once a schedule for info sessions is created. Create them in SF, add dates/times here as values. Then in Connector. Add Campaigns ID to create Campaign Members.

Attending an information session is required for admittance into our training programs. Please select which session you would like to attend.

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Contact Information