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Welcome to the MSW Employment and Training Services Intake and Orientation Registration Form

Thank you for your interest in our training services. Please take a moment to read the information below before you begin.

Is training the right fit for you?
WIOA training funds help people who need new skills or a credential to get hired in a high demand occupation. Training may not be the right fit if you already have the degree, credential or experience for the job you want, or if your main goal is to extend unemployment benefits. If training is not the right fit, we may still be able to help through career counseling, job search support and other services.

What to expect

Once you submit this form, you will receive a confirmation email that your form was received.
5 to 7 days before your orientation, you will receive an email from msw-ets@co.morris.nj.us with your orientation date and the WebEx link to attend. Please check your spam or junk folder if you don’t see it.
After orientation, you will be connected with a counselor who will help determine your eligibility for services.
Being found eligible does not guarantee approval for training. Each request is reviewed individually after a full assessment.
Please do not enroll in or pay for a training program before your counselor approves it. Training started before approval cannot be funded.
It may take 4 to 6 weeks to determine eligibility. Our resources are limited, and we work to support as many eligible residents as possible. We appreciate your patience.

Where you live
Our office serves Morris, Sussex and Warren counties, and priority of service is given to residents of these counties. If you live outside this area, you may be better served by the One-Stop Career Center in your county.

You can find your local office through the NJ Department of Labor website.

Before you begin
Please have the following information ready:

Your contact information, including your legal name (not a nickname) and the last four digits of your Social Security number
If you are a permanent resident: your USCIS number (Alien Registration Number) and the card’s expiration date
If you are registered with Selective Service: your Selective Service number
Military service information, if applicable
Information about your most recent employer, if applicable

Completing the form

This form takes about 10 to 15 minutes.
Please complete it in one sitting. The form cannot be saved and finished later.
At the end, you will be asked to sign and submit the form.

If you have questions, please contact us at msw-ets@co.morris.nj.us or 973-285-6880.

When you’re ready, click or tap Next to begin.

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Legal First Name

Middle Initial

Legal Last Name

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Are you currently attending a high school or alternative school?

Yes

If you're attending high school:

High School/Secondary or Less

Alternative

Post-Secondary

If you're not attending school:

High School Dropout

High School Graduate/Equivalent or Post-Secondary

What the highest education level you've completed?

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Do you have any Certificates or Special Licenses?

Yes

Certificate/License

Issued By:

State (or Province)

Country

Education - Course of Study

Education - Degree

Education - School

Education - State (or Province)

Education - Country

Additional Job Skills

Professional Associations

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Offender Status - Have you been convicted of a crime?

Yes

Do you believe this is a barrier to employment or training?

Yes

Do you have a disability?

Yes

Choose not to disclose

Please continue to answer all of the questions and then submit the online application.

Once submitted, ask our staff for Form D. [Form D is kept confidential.]

Do you feel you have any barriers to employment, including customs, practices or beliefs, not described on this form, which you wish to disclose?

Yes

Please describe these barriers:

Please upload of a copy of your resume (if available)

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Sign and Complete the Form

I attest that the information provided is true and accurate; any misrepresentation may be grounds for termination from program(s). I further understand that being determined eligible for services and/or training does not necessarily entitle me to service/training.

Applicant Legal Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Welcome to the MSW Employment and Training Services Intake and Orientation Registration Form

Auto Complete

Date of Birth

What sex were you assigned at birth on your original birth certificate?

What is your gender identity?

Ethnic Heritage

Race (Select all that apply)

Native Language (If not English, please enter language into the text field box below)

Contact Information

Current Address (Please input apartment, suite, etc. information on the second line.)

Primary Phone Number Type

Secondary Phone Number Type

Contact Preference

Are you currently attending a high school or alternative school?

If you're attending high school:

If you're not attending school:

Marital Status

Family Household/Status

Are you currently: (Select all that apply to you)

Are you currently receiving: (Select all that apply to you)

Housing

US Citizen (Current Status)

Expiration Date

Are you enrolled in Selective Service (Males born on or after 1/1/1960 only)?

Have you served in the military?

Start Date of Service

Last Date of Service (Please enter today’s date if currently on active duty)

Service Disability

Campaign Veteran

Type:

Receiving Veteran’s benefits or assistance?

Military Spouse – Are you:

If yes, has your income been affected by spouse’s deployment?

Employment Information

Employment Status

If employed:

If employed - received notice of termination:

If not employed and homemaker:

Are you a migrant seasonal farmworker?

What type of farmworker are you?

Farmwork type:

Do you have a work history (including current employer)?

Employer Address (Please input apartment, suite, etc. information on the second line.)

Start Date (Please select the first day of the month if uncertain about the exact start date)

End Date (Please select the last day of the month if uncertain about the exact end date)

Reason for Leaving

Employment Preferences

Work Week:

Duration:

Shift Preferences - are you willing to work any shift?

If No, which shift(s)?

Available Start Date

Preferred job location: Miles from Zip Code

Transportation Information

Do you own a vehicle?

Do you currently have auto insurance?

Is transportation available to you? (Select all that apply)

Do you have a valid driver's license?

Type of license(s):

Endorsements (Select all that apply)

Do you have any Certificates or Special Licenses?

Issue Date

Offender Status - Have you been convicted of a crime?

Do you believe this is a barrier to employment or training?

Do you have a disability?

Do you feel you have any barriers to employment, including customs, practices or beliefs, not described on this form, which you wish to disclose?

Please upload of a copy of your resume (if available)

What services do you need? Select all that apply:

Referral Source

Please select a date that works with your schedule to attend a virtual Training Orientation. You will receive a confirmation email 5 to 7 days before your orientation date and a text confirmation.

Have you ever received training in the past from MSW Employment and Training?

Sign and Complete the Form

Applicant Legal Signature