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 long have you been unemployed?
Are you currently drawing unemployment?
What is your availability to work or train?
* Highest Education level attained:
* Are you currently enrolled in college?
What is your computer experience?
What is your customer service experience?

Internet & Computer Availability

Do you have a computer at home?
Do you subscribe to an Internet service that you can access on your computer(s)?
If yes, which kind?
How long have you worked from home using the Internet? This is often called 'teleworking' or 'telecommunting'.
Do you currently have a landline home phone?
Who is your Internet Provider?


What is your household income?
Do you have a valid driver's license?
* Are you proficient in the English language?
* Are you a U.S. Citizen or have legal authorization to work in the United States?