Back To Work Network |
Regina Manteufel Executive Director Phone: (907) 276-4904 Fax: (907) 677-9490 E-mail: regina@anch.net 10 AM - 6 PM |
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Name:____________________ Age (15+ accepted)_________ Address: ___________________________________________ City: ____________________ State: ______ Zip: __________ Phone: _____-______-________ Cell: ____-_____-_________ Email: _____________________________________________ Do you want to apply for a Department of Education Grant? ___Yes ___No Student Loan or a tuition aid grant? ___Yes ___No Do you want to get computer training? ___Yes ___No Do you have a resume? ___Yes ___No (If you have one, bring several copies for possibility of employment and for us to help you. We will be inviting employers also.) Do you need a haircut? ______Yes ______No If you have any questions, please contact Regina Manteufel at 276-4904 from 10 AM to 6 PM or email regina@anch.net. We have 50 feet of free interview outfits to pick from, Mary K makeup and work-related speakers talking about all areas of work. Please check off one or more of the following items that reflect what you are interested in:
Please print out this form, complete it and fax it to 907-277-2460 or mail to: Back to Work Network |
