Register for the Virtual Job Center

Questions

1. Are you a citizen or do you have an entry permit to work? Yes
No  

2. Ethnic Background
The following information is not related to any services you will receive but is useful information to us when applying for additional funds or reporting to the community about the citizens that are server at the Job Center. We thank you for providing it on a voluntary basis.
Check all that apply American Indian Or Alaskan NativeAfrican AmericanHispanic Or Latino
AsianHawaiian Native Or Pacific IslanderWhite

3. Which of these describes your veteran status? Check all that apply.
A veteran who served on active duty for over 180 days (other than for training) or during wartime or was released due to a service-connected disability.
The spouse of a veteran who died from a Service-Connected Disability; or is listed as missing, captured or detained in the line of duty for over 89 days; or has a permanent 100% Service-Connected Disability.
Service Dates - Entry:   Release:  

4. What degrees or certificates do you have?

5. What kind of help would you like from the Job Center? Check all that apply. Housing assistanceHelp getting a GED or HSEDUnemployment Insurance
Food stampsFuel/energy assistanceMedical assistance
Help with a resumeJob ListingsInformation about education options (refresher courses or longer term school)
Wisconsin Works (W-2)Help with looking for a job (interviewing, filling out applications)Child care
Transportation assistanceInformation on high pay/nontraditional jobs

6. Do any of these descriptions apply to you? Check all that apply. Currently a single parent with a child under age 18; Do you have primary custody?Currently working with one or more of the Job Center or Community agencies. (Please identify agency and staff contacts):Convited of a felony or released from prison in the last 5 years
Trouble speaking or reading EnglishUnemployedEmployed but looking for a better job or career change
Laid off or unemployed due to a plant closing, permanent layoff, or farm closureHave been a seasonal farm laborer or food processing worker within the past 2 yearsCurrently receiving Supplemental/Disability Insurance (SSI/SSDI)
Currently have a limitation or impairment that affects getting or keeping a job

7. Current/Last Employer