IBT Application
IBT Application
(Page 1 out of 4)
Participant Application
First Name
Last Name
Address
City
State
Zip
Email Address
Phone Number
Are you a resident of the Denver Housing Authority
?
Yes
No
How many people live in your household including yourself?
1
2
3
4
5
6
7
8 or more
All Sources of Monthly Household Income:
Sources
No Income
TANF
SSI
Pension
Unemployment
Social Security
General Assistance
Employment only
Other
Check all that applies
TANF: How much do you receive monthly?
SSI: How much do you receive monthly?
Pension: How much do you receive monthly?
Unemployment: How much do you receive monthly?
Social Security: How much do you receive monthly?
General Assistance: How much do you receive monthly?
Employment: How much do you receive monthly?
Other: How much do you receive monthly?
Total Annual Income
$
Annually
Background and Safety
Have you ever been charged with a felony?
Yes
No
If yes, when?
What was the nature of the felony?
If yes, please provide name and contact information below for two character references that GRID can contact:
Reference #1
Name:
Relationship:
Phone Number:
Reference #2:
Name:
Relationship:
Phone Number:
IBT Application (Page 2 of 4)
Demographic Information
What is your Gender?
Please select...
Male
Female
Self Identify
What is your Age?
Please select...
0 - 17
18 - 23
24 - 44
45 - 54
55 - 62
62+
Are you disabled?
Please select...
Yes
No
What is your Race and Ethnicity?
Please select...
American Indian/Alaskan Native
Asian
Black/African American
Latino(a) or Hispanic
Native Hawaiian/Pacific Islander
White / Not Hispanic
Other Multi-racial
Are you a US military veteran or active duty service member?
Please select...
Yes
No
IBT Application
(Page 3 out of 4)
What is your current housing situation?
Please select...
Rent
Own
Homeless
Other
Do you have a valid Driver License?
Please select...
Yes
No
If not, why?
Are you currently employed?
Please select...
Yes
No
Employer name?
Do you have a high school diploma or GED?
Please select...
Yes
No
Skills
Please lest any relevant technical skills, certifications or completed training programs. You may also attach a resume copy.
Skills:
Certifications:
Resume:
(Optional)
Why are you interested in this solar training program? (Please be specific about why you are passionate about receiving this training. We have a very limited number of spots for this paid training program. This answer will be used to select candidates.)
IBT Application
(Page 4 out of 4)
Please provide an Emergency Contact
Emergency Contact Full Name
Emergency Contact Relationship
Emergency Contact Phone Number
How did you hear about this program?
Please select...
Community Agency
Friend or Family
Other
Please specify:
Acknowledgement
By checking on this box, I certified that all the information in this application is true and correct to the best of my knowledge.
Contact Information