Program Interest Form

Please select the statement that best represents your situation*

I’m experiencing obstacles to employment because of a criminal background
I’m looking to gain career training (such as Manufacturing, CDL or Nursing)***
I’m interested in the Construction career training program
I’m a current MFIP client assigned to Emerge
I need help preparing for a job or the job search
I’m interested in Financial Wellness services

Name*

Email*

Phone*

If you are not a current MFIP Emerge Participant Please call Hennepin County at 612-596-1300 to be assigned to Emerge

Please enter your case number*

What is your MFIP employment councilors name?*

Add any comments, question, or details

Which career training program do you want to apply for?

What makes you a good candidate for the program?

Please share employment history information for at least two previous jobs, including the name of the employer and supervisor, how long you were employed there, your job title, and description of duties.

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Program Interest Form

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