Integrated Education Training for Bilingual English Speakers: Custodial Interest List, Winter 2026
Assisting intermediate level English language bilingual adult jobseekers in improving their conversational skills in the workplace. This is a 4 week, in person training. A WERC staff member will reach out once the interest list is submitted for next steps.
First Name:
*
Last Name:
*
Middle Name: (If applicable)
Home City:
*
Zip Code:
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is English your first language?
*
Please Select
Yes
No
Do you currently have an OSHA-10 General Industry Certification?
*
Please Select
Yes
No
Not sure
Are you currently working?
*
Please Select
Yes
No
If you are currently working, you work:
Full-time
Part-time
What is the best time to reach you?
*
Please Select
Morning (8:30am - 12pm)
Afternoon (12pm - 5pm)
Please check all dates/times you are available to attend an information session
*
Mornings (9am - 12pm)
Days (12pm - 5pm)
Evenings (5pm - 7pm)
How did you hear about this training program?
*
Please Select
Word of Mouth
Outreach Flyer
Partner Agency
Other
Name of the Agency:
Do you have the right to work in the United States?
*
Please Select
Yes
No
Staff Follow Up:
Staff Name:
Date of the follow up:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Note:
Please sign to certify that all information is accurate and true
*
Submit
Should be Empty: