Application

Straight-A Guide Staffing Solutions

Job Training Program

Straight-A Guide Intake Form

 Personal Information

  • What is your full name (Last name, first name, middle name)?
  • What is your gender?
  • With whom are you currently living: Mother, father, foster parent, group home, other?
  • What is your address?
  • What languages do you speak?
  • What is your home phone number?
  • What is your cell phone number?
  • What is an alternative phone number?
  • What is your email address?
  • What communication method do you prefer (please circle)?      Phone            Email              Text

Education

  • What is the highest-grade level you have completed?
  • Did you obtain a high school diploma or GED?
  • On scale of 1 to 10, with 1 being lowest and 10 being highest, how would you assess your education level as being adequate for the employment you seek?
  • Have you attended any college or vocational schools?
  • If yes, what courses did you take?
  • How many years did you complete?

Job Interests

  • What job interests you?
  • What job interests you?
  • What job interests you?

Skills and Past Experiences 

  • What is the longest length of time you’ve worked on one job?
  • Why did you stop working on that job?

Job 1: Provide information for your current or most recent job:

  • What is the name of your current/previous employer?
  • Do you have any letters of recommendation?
  • What position did you have?
  • How long did you work there?
  • What requirements or skills were needed for this job?

Job 2: Provide information for your current or most recent job:

  • What is the name of your current/previous employer?
  • Do you have any letters of recommendation?
  • What position did you have?
  • How long did you work there?
  • What requirements or skills were needed for this job?

Job 3: Provide information for your current or most recent job:

  • What is the name of your current/previous employer?
  • Do you have any letters of recommendation?
  • What position did you have?
  • How long did you work there?
  • What requirements or skills were needed for this job?

Background

  • Have you ever lived in a group or foster home?
  • Has a police officer or a social worker ever removed you from your home for family reasons?
  • How many times have you been arrested?
  • How many times have you been convicted?
  • How would you explain your criminal background?
  • What steps are you taking to avoid further problems with the law?
  • How old were you on your first arrest?
  • What was the longest time you’ve been incarcerated?
  • Have you ever been released and returned to confinement?
  • Have you been classified as a gang member?
  • Are you active in a gang?
  • Are you currently on probation or parole?
  • Have you ever been enlisted or enrolled in the military?
  • Have you ever been dishonorably discharged?
  • How long have you been looking for employment?
  • Are there any jobs you will not do?
  • How will you get to work?