Food and Nutrition Services Employment and Training Program Interest Form

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This is the interest form for the Food and Nutrition Services Employment and Training Program at Central Carolina Community College! E&T is a program for individuals who are 16 years or older and receive Food and Nutrition Benefits (FNS, formerly Food Stamps) in Chatham County NC.

Answer the questions below as completely and honestly as you are able. Someone will be in contact with you to discuss your interest and how E&T can best support you!

If you have any questions or need immediate assistance, please contact:

Mr. Lincoln Frye, M.A.

Coordinator of Workforce Access Programs

Central Carolina Community College

lfrye914@cccc.edu

336-525-1678 (call or text)

919-545-8671 (call only)

What is your First and Last Name? *

What is your current age? *

What is your email? *

What is your phone number? *

How do you want E&T to contact you? *

Email me at the address I provided - (email will come from lfrye914@cccc.edu)

Call me at the phone number I provided - (call will come from 336-525-1678)

Text me at the phone number I provided - (text will come from 336-525-1678)

Do you have Food and Nutrition Services benefits (FNS, formerly Food Stamps) in Chatham County, NC? *

Yes.

I have applied for FNS benefits and am awaiting a response.

I believe that I qualify for FNS benefits and would like assistance applying.

No - I was denied benefits in the last 3 months.

No - I have never applied.

Other:

Do you have any barriers that would prevent you from working full-time upon completion of the E&T program? Examples may include medical or physical limitations / concerns. *

Yes.

No.

Are you a current or former CCCC student? If yes, what is your ID number? If no, please type NA. *

Which phrase best describes you? *

I have a certification/degree and just need help getting a job or staying employed.

I have a certification/degree and want to earn another certification/degree so I can change careers.

I have my high school diploma/equivalency, and want to earn a certification/degree to get a job.

I want to earn both my high school equivalency and a certification/degree to get a job.

Is there anything else that you would like E&T to know about you/your situation? *

OPTIONAL: How did you first hear about E&T?

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