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Youth Employment Pre-Application

If you have any questions while completing this pre-application, please call (217) 342-2193, ext. 112

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.

Do you or any household member receive:
Do any of the following apply to you?

If you have any questions, please call (217) 342-2193, ext. 112

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

Thanks for submitting!

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