Welcome to the TechHire application!
The application should take about 5 minutes. We use the information from this form to ensure that you are eligible for the program and to connect you to the jobs and internships that relate to your interests.
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What is your first name? *

 
What is your last name? *

 
What is your home address? *

#### Street, Apt. #, City
 
What is your zip code? *

 
What is your email address? *

 
And your phone number? *

 
What is your date of birth? *

TechHire San Diego is only open to participants 18 years old and above.
 
What is your gender? *


 
Are you a United States citizen? *

     
 
Do you have a permanent residence card (also known as a green card)? *

     
 
Do you have a Employment Authorization Document ("work permit")? *

     
 
Are you living in the United States under refugee or asylum status? *

     
 
Which of the following best represents your racial or ethnic background? Choose all that apply. *


 
Household Member 1

 
What is this household member's name? *

 
What is {{answer_WQG2zbggr6gt}}'s relationship to you? *


 
What is {{answer_WQG2zbggr6gt}}'s age? *

 
Does {{answer_WQG2zbggr6gt}} have a disability? *

     
 
Is {{answer_WQG2zbggr6gt}} the head of your household or the co-head of your household? *

     
 
Household Member 2

 
What is this household member's name? *

 
What is {{answer_yrkWAciFw4X5}}'s relationship to you? *


 
What is {{answer_yrkWAciFw4X5}}'s age? *

 
Does {{answer_yrkWAciFw4X5}} have a disability? *

     
 
Is {{answer_yrkWAciFw4X5}} the head of your household or the co-head of your household? *

     
 
Household Member 3

 
What is this household member's name? *

 
What is {{answer_jG82QQkymWwr}}'s relationship to you? *


 
What is {{answer_jG82QQkymWwr}}'s age? *

 
Does {{answer_jG82QQkymWwr}} have a disability? *

     
 
Is {{answer_jG82QQkymWwr}} the head of your household or the co-head of your household? *

     
 
Household Member 4

 
What is this household member's name? *

 
What is {{answer_kkMVNwam6dc9}}'s relationship to you? *


 
What is {{answer_kkMVNwam6dc9}}'s age? *

 
Does {{answer_kkMVNwam6dc9}} have a disability? *

     
 
Is {{answer_kkMVNwam6dc9}} the head of your household or the co-head of your household? *

     
 
Household Member 5

 
What is this household member's name? *

 
What is {{answer_M0nt3wHOLmQV}}'s relationship to you? *


 
What is {{answer_M0nt3wHOLmQV}}'s age? *

 
Does {{answer_M0nt3wHOLmQV}} have a disability? *

     
 
Is {{answer_M0nt3wHOLmQV}} the head of your household or the co-head of your household? *

     
 
Household Member 6

 
What is this household member's name? *

 
What is {{answer_SEeiCPCp6NC6}}'s relationship to you? *


 
What is {{answer_SEeiCPCp6NC6}}'s age? *

 
Does {{answer_SEeiCPCp6NC6}} have a disability? *

     
 
Is {{answer_SEeiCPCp6NC6}} the head of your household or the co-head of your household? *

     
 
Household Member 7

 
What is this household member's name? *

 
What is {{answer_YKbBKQaies9c}}'s relationship to you? *


 
What is {{answer_YKbBKQaies9c}}'s age? *

 
Does {{answer_YKbBKQaies9c}} have a disability? *

     
 
Is {{answer_YKbBKQaies9c}} the head of your household or the co-head of your household? *

     
 
Household Member 8

 
What is this household member's name? *

 
What is {{answer_ud47IHXUpKo8}}'s relationship to you? *


 
What is {{answer_ud47IHXUpKo8}}'s age? *

 
Does {{answer_ud47IHXUpKo8}} have a disability? *

     
 
Is {{answer_ud47IHXUpKo8}} the head of your household or the co-head of your household? *

     
 
Household Member 9

 
What is this household member's name? *

 
What is {{answer_aLLeH6zCc6wP}}'s relationship to you? *


 
What is {{answer_aLLeH6zCc6wP}}'s age? *

 
Does {{answer_aLLeH6zCc6wP}} have a disability? *

     
 
Is {{answer_aLLeH6zCc6wP}} the head of your household or the co-head of your household? *

     
 
Household Member 10

 
What is this household member's name? *

 
What is {{answer_SESR2RdgLPpS}}'s relationship to you? *


 
What is {{answer_SESR2RdgLPpS}}'s age? *

 
Does {{answer_SESR2RdgLPpS}} have a disability? *

     
 
Is {{answer_SESR2RdgLPpS}} the head of your household or the co-head of your household? *

     
 
How much annual income does your household make? *

Please use the following format: $##,###
 
The following questions regard your education:

 
What is the highest level of education you have completed? *


 
Are you currently attending school? *


 
Where are you attending? *


 
What degree or certificate are you working towards completing? *

 
Please list, if any, degree(s) or certificate(s) that you have earned relevant to the ICT sector:

 
The following questions regard your current and previous employment:

 
What is your current employment status? *


 
Who is your employer?

 
Hourly wage $:

 
Weekly hours worked

 
When was your last date of employment? *

 
Are you receiving unemployment insurance? *


 
Within the last 12 months, have you received a notice of termination or layoff from your job or received documentation that you are separating from military service? *


 
Of the TechHire pathways, which are you interested in gaining an internship or job in? *


 
What is your desired job?

 
Military Service

 
Are you currently in the military, a veteran, or the spouse of a veteran? *

     
 
Please upload your most recent resume

 
If you have a LinkedIn account, please insert the link

Thank you for your interest in TechHire San Diego. A TechHire team member will be in contact with you soon.

Please note that internships are available to those who qualify and meet specific requirements. 

- San Diego Workforce Partnership
MallorySibley@workforce.org
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