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:
 
Country:
 
* 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: