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Youth Employment Pre-Application

If you have any questions while completing this pre-application, please call (217) 342-2193, ext. 113

NOTE: Backing out of this form before clicking the submit button at the bottom will clear all the fields that have been filled in.

Filling out this application does NOT guarantee acceptance into the C.E.F.S. WIOA Program.

Selective Service Compliance
High School Dropout
Are you in GED classes?
Currently attending high school?
Are you in any special education classes or have a IEP?
Are you attending college or any other school?
Do you or any household member receive:
Do any of the following apply to you?

Work History

If you have never worked, there is a box to check after employer questions.

If you have any questions, please call (217) 342-2193, ext. 113

Filling out this application does NOT guarantee acceptance into the C.E.F.S. WIOA Program.

Thanks for submitting!

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