Career Readiness Program Application
Page 1
Basic Information
First Name
Last Name
Preferred Name
Birthdate
Gender
Ethnicity
Please select...
White or Caucasian
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Other
Prefer not to answer
Are you a U.S. Citizen? (You must be a U.S. Citizen to participate in our program)
Yes
Military Service Member / Veteran
Yes
No
Military Spouse
Yes
No
You must be a Military Service Member, Veteran, or Spouse to participate in our program.
Contact Information
Street Address
Street Address Line 2
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Other
County
Read Carefully: County - NOT Country!
Country
Zip / Postal Code
Phone Number
Email
Page 2
Military Information
Status of Service
Please select...
Active Duty
Dependent
Honorably Retired
Honorably Separated
Reservist
Spouse Branch of Service
Spouse Pay Grade at Separation
Service Connected Disability
Please select...
Yes
No
In Progress
Percentage of Disability
Branch of Service
Pay Grade at Separation
Entry Service Date
Transition Date
Registered with WWP?
Yes
No
Current Employment Details
Employment Status
Please select...
Employed
Military Service
Not Employed
Not Employed Details
Please select...
Full Time Student
SkillBridge Participant
Pursuing Certifications/Training
Stay-at-Home Parent/Caregiver
Other
Employment Type
Please select...
Part Time
Full Time
Self-Employed / Entrepreneur
Other
Other - Details
Employer
Position / Title
Gross Annual Salary
Job Search Status
Actively Seeking New, Additional, or Different Employment
Will be Seeking in Future
Employment Field(s) of Interest
Education
Highest Level of Education Achieved
Please select...
High School
Some College
Associates
Undergraduate
Postgraduate
Doctoral
Degree(s) Awarded
Program Details
Which class are you interested in attending?
In-Person (Jacksonville, Tampa, or Memphis, FL)
Online
Spouse (Online)
Why should you be selected for our program?
Upload DD214 (If Applicable)
How did you hear about us?
Below, please share any specific details you remember. For example:
If you selected "Military Installation" → list the base, TAPs class, or family resource center.
If you selected "VSO or Community Organization" → name the organization (e.g., USO, O2O, Hiring Our Heroes).
If you selected "Friend, family, ONU Alum, or Staff Member" → include their full name.
If you selected “TV / News Channel” → list the station or program name.
If “Other” → briefly explain how you found us.
Contact Information