What is SER Corporation? Do I have anything to lose? SER Corporation has been offering services in Kansas to migrant and seasonal farmworkers in Kansas for over thirty five years. Our goal is to find permanent year round employment. We help you do this by supporting you in occupational and basic skills training. No, SER Corporation is funded by the Department of Labor, therefore, there is no charge to our clients or the companies who use our services. What programs are offered? You will gain the necessary skills needed in a field you are interested in. You will become a productive citizen in your community. Classroom training can be taking a class at a vocational school or getting into GED or ESL classes. You will no longer have to depend on seasonal farmwork for your income. SER may pay some of the necessary expenses to allow you to take advantage of these opportunities. We can also prepare you to meet the expectations of the job market, and assist in your job search. EEO/Non-discrimination SER Corporation is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, identity, sexual orientation, age, national origin, disability, veterans status, or any JOBS PROGRAM What will I gain? SER offers a variety of programs to fit the needs of the client. On the job training puts you immediately into a job where you train as you earn a regular wage. NATIONAL FARMWORKER Who is eligible? If you have worked in feedlots, farms, ranches, grain elevators, green house or have done field work in the last two years, you may qualify if you meet certain income guidelines. How do I apply? Complete the pre-application printed on the back and mail to the SER office nearest you. If you have any questions please call any of our offices. The toll-free numbers are listed on the front. SERVICE,EDUCATION AND RE-TRAINING FOR MIGRANT AND SEASONAL FARMWORKERS Goodland-SER 1209 Harrison Goodland, KS 67735 (866) 597-6760 Kansas City-SER 650 Minnesota Ave Kansas City, KS 66101 Hays-SER ((913) 232—9249 (877)664-5372 1008 E 17th, #7 Hays 67701 (877) 723-4016 Dodge-SER Dodge City C.C Technical Education Center 2501 N 14th Ave Room 125 Dodge City, KS 67801 (620) 371-6056 (877)644-5372 Wichita-SER 1020 N. Main, Ste. D Wichita, KS 67203 (316)264-5372 (877) 664-5372 Visit our website: www.sercorp.com *****Hablamos Español***** Male Female Social Security Card W-2s Resident Alien Card Card EmployNaturalization or Citizen ment Authorization from INS U.S. Birth Certificate Last day of work Last day of work Last day of work # Hours/Week # Hours/Week Wage/Hour or Salary # Hours/Week Type of Business Wage/Hour or Salary Type of Business Wage/Hour or Salary Type of Business Total Wages Total Wages Total Wages School Year: _____________________ Starting Date: _______________ School: __________________________________________ Program of Study (if known): ___________________________ If applying for financial aid for schooling: Fill in ALL information about ALL employment for the PAST TWO YEARS. If you were unable to work or were in the military, fill in information for employment before that time. Use extra sheet for additional employers . Date work began Address (Street Number, City, State, Zip) Employer #3 Date work began Address (Street Number, City, State, Zip) Employer #2 Date work began Address (Street Number, City, State, Zip) Employer #1 ****************************************************************************************** Income Tax documents for the past 2 Years Valid Driver’s License Check the documents you can provide: If you are male, 18 years or older, born January 1, 1960 or later are you registered for Selective Services? _____________ Home Phone/Message #:________________________ Current Employer: ______________________________ Number of Dependents: _________________ Last School Grade Completed:______ City/State/Zip:__________________________________ E-Mail Address:______________________________ Address:__________________________________________________ Date of Birth:_____________ Age:____ Name: ___________________________ Social Security # : ______________________ Date: ______________ (SEE FRONT OF PAMPHLET FOR ADDRESS AND TOLL-FREE PHONE NUMBERS) SEND APPLICATION TO THE OFFICE NEAREST YOU SELF-APPLICATION SER FARMWORKER PROGRAM