New Skills Now! New Skills Now! - Sign Up Step 1 of 4 - Applicant Information 0% Name * Required First Middle Last Employment Status * RequiredUnemployedEmployed If you are currently employed, please contact your HR Administrator. Information from employers for employed individuals intending to participate in the New Skills Now Program is required for participation. Business Services Unit Phone: (806) 345-1341 Email: BusinessServices@wspanhandle.com Are you currently searching for work? * RequiredYesNoI intend to participate in the following course (Choose One): * RequiredAccounting Fundamentals (Online - Amarillo College)Accounting Fundamentals II (Online - Amarillo College)QuickBooks Online Series (Online - Amarillo College)Customer Service 101 (Online - Jody Holland)Clean & Safe Trained (Online - Jody Holland)Forklift Certification (In-Person - Amarillo College)Leadership Mastery (Online - Jody Holland)Certified Nurse Aide (CNA) (In-Person - Amarillo College)Heartsaver CPR (In-Person - Clarendon College)Introduction to Microsoft Excel (Online - Amarillo College)Intermediate Microsoft Excel (Online - Amarillo College)Advanced Microsoft Excel (Online - Amarillo College)Project Management Essentials with CAPM Prep (Online - Amarillo College)Mastering Project Management with PMP® Prep (Online - Amarillo College)CDL Commercial Driver License (In-Person - Amarillo College)What year version is your Microsoft Suite Applications? * Required2010201320162019 Social Security Number * RequiredDate of Birth * RequiredMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Mailing Address * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Veteran Status * RequiredMilitary ServiceQualified Spouse [The spouse of armed forces member who died on active duty, is MIA, etc. - Title 38 USC, Chapter 4101 (5)]Active MilitaryNoneAre you currently receiving or have you recently exhausted your Texas unemployment benefits? * RequiredYesNoAuthorized to Work in the US * RequiredCitizenRefugee/ParoleePermanent Resident AlienOther Eligible NonresidentDo you have a child or children under 18 * RequiredYesNoEmail * Required Phone * RequiredPreferred Contact Method * RequiredEmailPhoneText Desired Start Date * Required MM DD YYYY Consent to the terms below is required for participation Type Your Initials to Consent to the Terms Below * RequiredI understand that I am responsible for any additional costs relating to the course such as software, internet connection, books and materials.Type Your Initials to Consent to the Terms Below * RequiredI agree to commit the required time and effort necessary to complete the above course and meet the responsibilities outlined by the training provider.Type Your Initials to Consent to the Terms Below * RequiredI will provide a copy of my certificate to Workforce Solutions Panhandle on completion of the above course.Type Your Initials to Consent to the Terms Below * RequiredI agree to search for work with the assistance of Workforce Solutions Panhandle Employment Services staff to secure employment immediately upon completion of above training.Type Your Initials to Consent to the Terms Below * RequiredI agree to have the Employment Verification Form provided by Workforce Solutions Panhandle completed by my new employer and submitted within the first 10 days of employment.Type Your Initials to Consent to the Terms Below * RequiredTo the best of my ability I will continue to work at my new employer for 90 days after the completion of the above course.Type Your Initials to Consent to the Terms Below * RequiredShould I not complete the above course or be able to meet any of the above conditions, I will inform Workforce Solutions Panhandle in writing immediately.By typing my initials below, I hereby authorize and request that the following indicated records and information be made available for use by the Panhandle Regional Planning Commission in connection with my application and participation in programs and activities sponsored under Workforce Solutions Panhandle. I hereby release those holding such information from any and all legal responsibility and liability that may arise from the release and disclosure of information pursuant to this consent. Consent to the terms below is required for participation Type Your Initials to Consent to the Terms Below * Requireda) Public and /or private school records, results of individual student performance on basic skills assessment tests, GED tests, college placement scores, instruments including NAPT, CAT and other such tests and instruments, and other scores of results of achievement evaluation. b)Release of employment information (including wages) from current or previous employer including employment information for up to 36 months after the date of this Consent to Release Information.Type Your Full Name to E-Sign this Document * Required Create An AccountUsername * RequiredPassword * Required Enter Password Confirm Password Strength indicator CommentsThis field is for validation purposes and should be left unchanged.