On-the-Job Training Intake FormPlease fill out this form to the best of your ability. Name * First Name Last Name Email * Phone * (###) ### #### Which of the following applies? * I'm currently receiving unemployment compensation. I'm receiving SNAP/Food Stamps I'm below the poverty line for my family size None of the above Which company did you interview with? * What was the position? * Are you registered on the PA CareerLink® website? * Yes No Thank you. You will be contacted shortly. Please have your Driver’s License/Photo ID, Social Security Card, and proof of unemployment or SNAP benefits ready. You will need them for the intake.
