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Personal Information

Example: 1001 Stadium Drive 

Inglewood, CA 90301

Which form of contact works best for you?
Call
Text
Email
Date of Birth | Project STRIVE Age Requirements (18-24)
Month
Day
Year
Gender
Male
Female
Prefer Not To Say
List All Languages You Are Fluent In
What is your ethnicity?
How Did You Hear About This Program?
Supportive Services Needed:
Highest Education Completed
9th Grade
Trade School
HS/GED
Community College (2 Year)
College/University (4 Year)
Graduate Studies
Do You Know Your Learning Style?
Visual Learner | You benefit from visual aids such as videos, presentations and diagrams.
Auditory Learner | You absorb material best when you can talk it out, or someone provides it verbally.
Reading/Writing | You thrive with text heavy sources ie; Textbooks, Manuals, Written Literature.
Kinesthetic | You retain information when you can connect your bodies and physical senses to the concept (experiments, hands-on activities)
I Don't Know
Have you ever been convicted of a misdemeanor?
Yes
No

Your answer will not affect your eligibility to enroll in Project STRIVE or gain employment.

Are you currently on parole or probation?
Yes (Parole)
Yes (Probation)
No

Your answer will not affect your eligibility to enroll in Project STRIVE or gain employment.

Are you currently employed?
Yes
No

Your answer will not affect your eligibility to enroll in Project STRIVE or gain employment.

Are you currently employed?
Yes
No

Your answer will not affect your eligibility to enroll in Project STRIVE or gain employment.

Please check all that apply to you:

In Los Angeles County, the median income for a four-person household in 2025 is $106,600.

Do you have any previous construction or pre-apprenticeship training?
Yes
No

Your answer will not affect your eligibility to enroll in Project STRIVE or gain employment.

Have you previously completed any pre-apprenticeship training?
Yes
No

Your answer will not affect your eligibility to enroll in Project STRIVE or gain employment.

Are you a Union Member?
Yes
No
ACKNOWLEDGEMENT: This is a hybrid program (both online and in-person). Are you able to commit to attending all class activities, both online and in-person? *
Yes
No
ACKNOWLEDGEMENT: I understand that if I am selected to the STRIVE program, I am expected to attend a mandatory, in-person orientation
Yes ( I Can Attend)
No (I Cannot Attend)
ACKNOWLEDGEMENT: I understand that if I am selected to the STRIVE Program, I am expected to be a full participant from the provided start date to its completion date.
Yes ( I Can)
No (I Cannot)
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