My Digital Works Enrollment

Thank you for your interest in Digital Works! All sections denoted with an * are required fields. Please fill out the application as completely as possible. You will receive a follow-up e-mail with instructions as to your next steps and contact information should you have any questions.

* Facility Location:
* First Name:
* Last Name:
* E-mail Address:
* Confirm E-mail Address:
* Create Password:
Your password must be at least 6 characters long.
* Confirm Password:
* Address:
* City:
* State:
* Zip: * County:
* Phone:
How did you learn about this program?

Employment Status

What age group are you in?
Are you a veteran?
Employment Status:
If you are unemployed...for what length?
Are you currently drawing unemployment?
What is your availability to work or train?
Highest Education level attained:
What is your computer experience?
What is your customer service experience?

Internet & Computer Availability

Do you have a computer at home?
Do you have Internet at home?
If yes, which kind?
Do you currently have a landline home phone?
What is your Internet Provider: