• ACCESS Application

    Complete this form to apply to the ACCESS To Manufacturing training program.

  • Thank you for your interest in joining the ACCESS to Manufacturing Careers program! This application is to apply for the ACCESS training program.

    Information submitted on this form is secure, and is solely used for the purposes of ACCESS training programs and partnerships.

    ACCESS is a second-chance training opportunity. Answers within this form do not necessarily disqualify you from the ACCESS training program. Please provide answers truthfully, to the best of your knowledge, as more detail will help our staff provide the best support.

    Please note that completion of the application does not ensure placement into the program.

    Questions? Request more information here, or contact Nettie at 216-219-1155, or nking@towardsemployment.org

    To get started on your application, click "Next"

  • Please select:*

  • Personal Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Race (Select all that apply)*
  • Gender*
  • Date of Birth*
     - -
  • Family Status*
  • Are you a parent/guardian?*
  • Do you receive food stamps (SNAP)?*
  • Have you received previous service or support from Towards Employment?*
  • Have you served in the military?*
  • Do you have a high school diploma or GED?*
  • Do you have additional education, training/vocational school, or certifications?*
  • Have you ever been convicted of a felony or misdemeanor? (ACCESS is a second chance training program)*
  • Do you currently have any pending/open cases or charges?*
  • Would you be able to pass a drug screen test today?*
  • Please provide the last date of use (This includes usage of any form):*
     - -
  • Do you currently receive any medical benefits?*
  • Have you ever applied for funding through Ohio Means Jobs (OMJ) or have an Ohio Means Jobs (OMJ) account?)*
  • Do you have a valid ID? (Driver's license, state ID, passport)*
  • Do you have a Social Security Card?*

  • Work History

    Please provide details for your most recent work history. If you have had no previous employer, please type in "N/A" to the following fields.
  • Employment type:*
  • Start Date*
     - -
  • End Date (If still employed, put today's date)*
     - -
  • How did you hear about the ACCESS training program?*

  • The most recently available class date is listed below. Please note that classes have limited seating and may become unavailable, even if it is listed below. 

    If accepted into the program, we will always try to place you in your preferred class first.

  • Please select your preferred class date:*

  • Please read, and check the boxes below:

  • Should be Empty: