Skip to content
Call Us Today! 570-346-6203
|
RISE@UNCNEPA.ORG
Facebook
Instagram
Search for:
About Us
Program
Eligibility
Possible Careers
Supportive Services
Events
Contact
Search for:
General Eligibility
Home
»
General Eligibility
General Eligibility
Avada Support
2021-12-17T20:16:39+00:00
If you would like assistance with the application, please call Terilynn at 272-228-1365.
Name
*
Date of Birth
*
Street Address
*
Marital Status
*
Single
Married
Divorced
Widowed
Other
If Other
City
*
State:
*
Phone Number:
*
E-Mail Address:
*
How did you hear about RISE?
Select Below
Internet
Family Member / Friend
An Organization
Poster or Hand-Out
Household Composition
Are you the Head of the Household?
*
Yes
No
What is your annual household income?
*
How many children do you have?
*
How many over 18?
*
What is your highest level of education?
Please Select:
Less than High School
High School Diploma or GED
Some College, no degree
Postsecondary non-degree certification
Associate's degree
Bachelor's degree
Master's degree
Are you authorized to work in the United States?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Do you have a high school diploma or GED?
*
Yes
No
Have you ever been convicted of a violent crime?
*
Yes
No
Which certification track are you interested in?
*
Medical Assistant
Computer Support Specialist
Building and Property Maintenance
Diesel Preventative Maintenance
Welding Technology
Industrial Technology
What location are you interested in attending?
*
SCRANTON- johnson college
NANTICOKE- luzerne county community college
OPEN TO EITHER CAMPUS
Essay
Describe a specific time when you were faced with a challenge and solved the problem.
*
Submit
Thank you for your message. It has been sent.
×
There was an error trying to send your message. Please try again later.
×
Page load link
Go to Top
