Application

Thank you for your interest in ManifestWorks. Please click Next Page to begin the application. Note that the application is 8 pages total. We ask you to put care into completing each question as your responses will factor into your admission.

Again, thanks for your interest.

Page 1 of 8

Basic Information

Legal First Name

Legal Last Name

Preferred Name (if different)

Date of Birth

City

State

Email Address

Please remember the email you submit here will be the address we use to contact you through the application process. Make sure you are able to check received or spam emails at this address, including one that we will sent to confirm your application is complete.

Phone Number

Have you previously applied to ManifestWorks?

YesNo

Are you eligible to work in the U.S. and able to verify it?

YesNoNote: we will verify work eligibility during interviews for the program.

Page 2 of 8

Eligibility Question #1

Have you ever been in foster care?

For our purposes, ManifestWorks defines foster care (also known as out-of-home care) as:

A temporary service provided by state or local jurisdictions for children who cannot live with their families. Children in foster care may live with relatives or with unrelated foster parents.
Foster care can also refer to placement settings for those under 18 such as; group homes, residential care facilities, youth shelters, and supervised independent living.
Can also include oversight by jurisdictions like Department of Child and Family Services (DCFS), family court, children's court, or delinquency court to include; voluntary contracts, protective supervision, extended home visitations, and other in-home services.

Do you believe you fall into any of the above categories?

YesNo

When were you last impacted by foster care?

Do you feel you have been impacted by foster care in another way not listed above?

YesNo

Please elaborate.

Page 3 of 8

Eligibility Question #2

Have you ever been impacted by homelessness? For our purposes ManifestWorks defines homelessness as:

Any individual or family who lacks a fixed, regular, and adequate nighttime residence.
This includes those living in emergency or domestic violence shelters, transitional housing, or other public/private spaces not meant for habitation?”

Do you believe you fall into any of the above categories?

YesNo

When were you last impacted by homelessness?

Do you feel you have been impacted by homelessness in another way not listed above?

YesNo

Please elaborate.

Page 5 of 8

Availability

Do you currently have a valid driver’s license?*

YesNo

From which state?

What are your plans to get a driver's license before the end of the 10-week program?

Do you anticipate any scheduling conflicts during our program, which meets on Saturdays?

YesNo

Can you describe your potential scheduling conflicts?

How do you plan on getting to class on Saturdays and jobs during the week?

Can you tell us more?

Can you describe your potential transportation issues?

Do you currently have a job?

ManifestWorks is a workforce development and placement organization and you will have the opportunity to be placed on mid-week production jobs while participating in the program. Given that you have full-time employment, why are you applying for ManifestWorks now? How would you take advantage of the placements we offer you?

Are you currently attending any school or other training program?

Where are you enrolled?

When is your expected graduation date?

ManifestWorks is a workforce development and placement organization and you will have the opportunity to be placed on mid-week production jobs while participating in the program.

Given that you are a full-time student, why are you applying for ManifestWorks now? How would you take advantage of the placements we offer you?

Page 7 of 8

References and Referral

How did you hear about ManifestWorks?

Please choose the most accurate category to describe your referral to ManifestWorks.

Please elaborate.

Do you have any professional references you would like to share with us?

YesNoYou can provide up to 3.

Reference #1

Name

Relationship

Phone Number

Email Address

Reference #2

Name

Relationship

Phone Number

Email Address

Reference #3

Name

Relationship

Phone Number

Email Address

Page 8 of 8

Follow Up

What do you know about ManifestWorks, and why is now the optimal time for you to paricipate?