Interest Form

To get started with your enrollment in an NLEN program, fill out the interest form below. For more information or questions, please email: outreach@nlen.org

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First name *

You A Upload

Last name *

Email *

Phone

Address

Sex Assigned At Birth

• Male
• Female
• Prefer Not To Answer

Gender

Do You Have Any Criminal Legal System Involvement? *

• Yes
• No

Please note — marking “Yes” will not prevent you from enrolling in NLEN’s programs

Do You Live in CHA (Chicago Housing Authority) Housing? *

• Yes
• No

Are You A North Lawndale Resident? *

• Yes
• No

Are You Currently Unemployed Or Looking For Work? *

• Yes
• No

Do You Have Any Work Experience? *— Select Choice —No, I Do Not Have Work ExperienceYes, 1-3 Years Work ExperienceYes, 4-6 Years Work ExperienceYes, 7-10 Years Work ExperienceYes, More than 10 Years Work Experience

Degree Level/Highest Grade Achieved* *

• No High School Diploma/GED
• Some High School
• High School Diploma/GED
• Associate’s Degree
• Technical Degree/Trade School
• Some College
• Bachelor’s Degree

What Kind of Assistance Are You Seeking? *

• Job Search Assistance
• Training and Career Development
• Resume Development Assistance
• Job Interview Preparation
• Employment Placement
• Financial Education and Coaching
• Business Education
• Other

Please select all that apply

Areas of Career Interest *

• Healthcare
• Sales/Customer Service
• Transportation, Distribution, and Logistics (TDL)
• Hospitality
• Manufacturing
• Construction/Building Trades
• Finance
• Information Technology
• Solar
• Food Handler
• Business Education
• Entrepreneurship

Please select all that apply

How Did You Hear About NLEN? *— Select Choice —Family, Friend, or Co-WorkerSocial MediaFlyerEmailCommunity EventAgency / Caseworker ReferralParole / Probation OfficerOther

Upload Your Résumé Here (Optional)

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