This student application is specifically for individuals wishing to enroll in a JfL class in the Triangle Area in NC. If the class you are wishing to apply for is not located in this area, or if you are unsure, please contact Jessie Hathcock at

Please note that your responses to any and all of the following questions WILL NOT disqualify you from participating in Jobs for Life. JfL leaders will keep all personal information disclosed on this form completely confidential.

  • General Information

  • / /
  • Work Status

  • Check the following forms of ID you have:*
  • Educational Background Information

  • What is the highest level of education completed*
  • Background Information

  • Are you a current recipient of government assistance?*
  • Current marital/family/housing status:*
  • How many children do you have?*
  • Current Employment Status

  • Check all that apply:*
  • JFL Class Information