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Christian Women's
Job Corps
of the
Highland Lakes

Lovingly Established in 2004

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You Belong Here!
Find Hope, Purpose, and Community
Christian Women’s Job Corps of the Highland Lakes is a Christ-centered community where women are welcomed, supported, and equipped to move forward.

Apply to CWJCHL

Let's Get Started

First name*

Last name*

Please provide the best contact information available to you.

Phone

Address*

City*

ZIP Code*

How may we contact you? (Check all that apply?)*

Phone

Text

Tell Us About Yourself

Date of birth*

Gender*

Female

Marital Status*

Number of Dependents*

Primary Language*

Secondary language, if applicable

Employment & Education

Employment Status*

Employed, Full-time

Employed, Part-time

Unemployed

Student

Other

Current job title

Employer name, if employed

Current or most recent school/institution attended

Highest education level completed*

Your Interests & Goals

Program Interest

Which CWJC program(s) are you interested in? (Check all that apply.)*

Bible Study

Life Skills

Job Readiness

GED/HiSET Preparation

Other

What led you to apply to CWJCHL?*

What do you hope to accomplish while participating in the program?*

How Can We Support You?

Do you have any special needs or accommodations? If yes, please provide detail.*

Emergency Contact:

Name

Relationship

Phone number

Referral Source:

How did you hear about CWJC?

Friend/Family

Community/Organization

Church

Online/Social Media

Other

Consent and Acknowledgment

I consent to having my information used for program purposes, including communication and data collection.

I acknowledge that the information provided is accurate to the best of my knowledge and understand that providing false information may disqualify me from participation.

Signature*

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Date picker*

P.O. BOX 1433

218 E. Jackson, Burnet, TX 78611
512-756-1484

cwjchl78611@gmail.com

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