Employment and Professional Skills Training Application

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Calendar



Identifying Information



Family History



Education History



Military History



Medical History



Addiction History



Answer the following questions if you are or have ever been enrolled in
a Recovery/Rehabilitation Program



Legal/Criminal History




Answer the following two questions if you are currently on probation



Income Sources
[?]



Work History


If you are currently employed:



More About You


Confidentiality Statement:

By submitting this form I am stating that:

1) I have read and comprehend the EPST application and information sheet.
2) I understand this is a full time program, Monday through Friday.
3) I will follow all program policies and procedures.
4) I am choosing to apply to this training program because I am committed to learning and improving my personal development and education which will qualify me for professional positions that lead to economic self-sufficiency.

I understand this application and any of ULEM's policies or handbooks are not intended to be, nor constitute a contract of employment. The information contained in this application is true to the best of my knowledge. I understand that this information may be verified and falsification, misleading or untruthful responses will be cause for rejection of my application and/or immediate termination from the Employment and Professional Skills Training Program.