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HDHC Grant- Candidate Application

Please enter your first and last name

Please enter your email

Please enter your phone number

Are you either a U.S. Citizen or authorized to work in the U.S. (via Green Card)?

A
B
C

Are you at least 17 years old?

A
B

If you are a male: Are you registered in Selective Service? (This is required for any male under the age of 26).

Do you have college experience? Please select all that apply

Please specify if you currently are pursuing a degree or have already earned a degree and what the degree major is.:

What is your current employment status?

A
B
C

Are you ready to work upon program completion? The training program includes a 12 week internship (may or may not have a hybrid components) and will require candidates to participate in the internship and hopefully find employment after program completion

A
B
C

* If you responded "Other" to the previous question, please specify:

Please write a brief summary (two paragraphs) to give a little more information on yourself (what your background looks like, your experience, goals of what you would want to achieve through this internship, where you would like to be career wise within the next five years, etc.).

What date would you be available to begin?

How did you hear about this opportunity?

Please rank the training institutions in the order of your preference. If you meet the eligibility criteria, you may be selected by one of the folowing institutions to complete your online training and in-person internship with. Included with each institution is a brief profile on their organization and the physical address of where your in-person internship would take place. If location is a determining factor for you, please consider where the internship is located as you rank your preferences. (1- Being the institution you would most like to intern with and 6- being the institution you would least like to intern with)

Use the up and down arrow keys to change the rank.
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