i-Ability: Vocational IT Training Program Application Form Dear Applicant, Thank you for your interest in the i-Ability: Vocational IT training program, which is offered by Hire-Ability Vocational Services a division of Richmond Area Multi-Services, Inc. (RAMS) with funding from the Mental Health Services Act. We are excited to announce that we are currently seeking applicants for the July 2015 cohorts of Help Desk and Desktop. Participants in this 9-month program course will receive intensive and supportive on-the-job training in the fields of information technology, technical support and customer service. In order to qualify for this program, please note that you must meet the following requirements: • At least 18 years of age • Current resident of San Francisco • Have successfully completed at least a High School education or equivalent (GED acceptable) • Be able to attend training which is held Monday thru Friday (between 8:30am and 5pm), 7-16 hours per week • Must be receiving or eligible to receive services through Community Behavioral Health Services (SFDPH-CBHS) • Successful completion of skills assessment and intake interview • Must actively participate in developing vocational goals with vocational rehabilitation counselor and program staff • Must provide consent to i-Ability staff to reach out clinical provider, if needed To apply, Hire-Ability must receive your completed application, copy of proof of San Francisco residency (driver’s license or CA state ID), a copy of your most recent diploma or transcript (official/unofficial), and your personal statement no later than Wednesday, September 10 at 5:00pm. For the July 2015 start date, the program is accepting about 10 trainees for Help Desk and 8 trainees for Desktop. Below is a summary of the application and notification timeline. Application Due Date Interviews conducted Notification of Application Status First Day of Instruction All dates listed are in 2015. May 8 5:00pm (must be received by manager at 5pm) mid-May to mid-June Week of June 22 July 6 (Help Desk) & July 27 (Desktop) The program respects your privacy and adheres to the confidentiality rules and regulations that apply. Your application’s information will not be shared with anyone without your prior consent. Should you have any questions, please feel free to contact me. Thank you again for your interest in the i-Ability Training Program. Sincerely, John Cabiles i-Ability: Vocational IT Manager (415) 282-9675 ext. 231 [email protected] Page 1 of 3 i-Ability: Vocational IT Training Program Application Form First Name: Last Name: Phone: Email: Address: Which program do you most prefer? Check only one box: □ Desktop □ Help Desk 1. Program Requirements (check only one box in each question) A. Are you currently a San Francisco resident? □ Yes □ No B. Are you a High School graduate or equivalent (GED)? □ Yes □ No C. Are you currently receiving services through CBHS? □ Yes □ No □ Not Sure D. Are you able and willing to commit to the full nine month training program)? □ Yes E. Could you commit to 7-16 hours per week? (Monday to Friday, between 8:30am and 5pm) □ No □ Yes □ No 2. Computer Skills A. How long have you been using computers? Check one box: □ Never □ Less than 1 year □ 1 to 3 years □ More than three years B. Computer Skills (Check the box next to each thing that you have experience with) □ Using Email □ Using internet browser □ Google Search □ Google Apps □ Microsoft Excel □ Social Media □ Minor computer repairs □ Microsoft Word □ Fixing Windows issues □ Computer programming 3. Training & Work Experience Please list past training, volunteer or work experience OR attach your resume. Description/Job Title/Training Course Organization/Employer/School Start Date End Date 4. References: Please list one professional reference (ex: last employer, former teacher, etc.) and one clinical reference (ex: therapist, case manager, psychiatrist, etc.). Name How do you know them? Phone number 5. How did you learn about this program? (Check all that apply) □ Clinician □ Information Session □ Brochure □ Friend graduated from program □ Other _______________ Page 2 of 3 i-Ability: Vocational IT Training Program Application Form 6. Personal Statement Please attach a personal statement to the application. In your personal statement, please tell us about each of the following (two pages max): • 1. About yourself (background and training; explain why you feel you are a good match for the program) • 2. Reasons why you want to take this course • 3. How you hope to utilize the learned skills Signature Please read each paragraph, and then sign below. I certify that I have not purposely withheld any information that might negatively affect my chances for acceptance. The answers given by me are true and correct to the best of my knowledge and ability. I permit RAMS to contact the references I provided regarding the i-Ability training program. I authorize the references I have listed to provide any information about my related experiences, without giving me prior notice of such disclosure. Applicant's Signature:______________________________ Date:___________________ Completed application checklist Please include ALL of the following with your application: □ 1. completed Application form □ 2. copy of proof of San Francisco residency (driver’s license or CA state ID) □ 3. copy of proof of eligibility to work (social security card, US passport, residency card) □ 4. your personal statement The following documents* are also required for enrollment, but may be submitted separately from the application. We will, however, need to receive them before you can be accepted into the program: ● copy of your most recent diploma or transcript (official/unofficial) ● completed Proof of Eligibility form and a completed Referral form from clinician (if applicable) Please submit completed application no later than May 8 at 5:00pm to: Applications may be dropped off OR mailed to: Attn: Vocational IT Manager Hire-Ability 1234 Indiana St San Francisco, CA 94107 Alternatively, applications may be emailed or faxed: email: [email protected] Fax: (415) 920-6877 Notification of application status will be sent to the mailing/email address noted on the application. Page 3 of 3
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