Application | Toolbox4Life | Orlando, Florida

To start the application process, we need to get a little information from you. It will help us help you, and will be your first step to be considered for class. Please complete the application to the best of your ability, and then submit it. The next step to being in class will be on us, when we’ll schedule interviews for prospective students, for us both to get to know one another. Please note, because class sizes are limited, not all applicants will be interviewed. Be sure to check the dates and deadlines for the classes. We don’t want you to miss out. You can also download and print the application and mail it to us at: 306 Foundation, P.O. Box 2643, Winter Park, FL 32790. Call us at 407-470-0765 if you have any issues.

Please have a case manager, parole officer, and/or sponsor complete the referral form and email directly to info@toolbox4life.org. This must be received before your scheduled interview.

Today's Date*
MM slash DD slash YYYY
I am applying for:*
- Toolbox4Life Construction
- Toolbox4Life Culinary
PERSONAL INFORMATION
Name*
First Middle Last
Best phone number to reach you*
Can this number receive texts?*
- Yes
- No
What is your email address?
Date of Birth*
Month
Day
Year
Marital Status*
Driver's License number and State where it was issued.
Driver's License Expiration Date
Month
Day
Year
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Are you being referred to Toolbox4Life by an agency?*
- Yes
- No
If so, what is the name of the agency?
Case Manager's Name
First Last
Case Manager's Phone
Name of Emergency Contact (friend or relative)*
First Last
Emergency Contact Phone Number*
Have you ever served in the armed forces?*
- Yes
- No
Are you a US citizen?*
- Yes
- No
If no, can you provide proof of residency?
- Yes
- No
Do you have a disability that limits your activity in class or employment activities?*
- Yes
- No
What is your total monthly income?*
Please list all your sources of income*
Please choose the highest level of education completed.*
Do you hold any certification or professional licenses?*
- Yes
- No
Are you currently attending school?*
- Yes
- No
If ‘yes’, please provide the name of the school and what you are studying.
What career would you like to pursue?*
HOUSING
What is your current housing status?
Do you have a secure place to live for the next six months?*
- Yes
- No
How many people are living in your household?*
How many children under 18?*
Are you a single parent?*
- Yes
- No
EMPLOYMENT HISTORY
Please provide information on your last three (3) jobs. If you have less than three (3), type "N/A".*
Previous Employment 1 - Please provide the following information for your most recent job:*
Business Name, Address and Phone, Your Supervisor's Name, Employment Start and End Date, Responsibilities (duties performed, skills used and learned, advancements or promotions while you worked at this company), and your Reason for Leaving (please be specific).
Previous Employment 2 - Please provide the following information for your most recent job:*
Business Name, Address and Phone, Your Supervisor's Name, Employment Start and End Date, Responsibilities (duties performed, skills used and learned, advancements or promotions while you worked at this company), and your Reason for Leaving (please be specific).
Previous Employment 3 - Please provide the following information for your most recent job:*
Business Name, Address and Phone, Your Supervisor's Name, Employment Start and End Date, Responsibilities (duties performed, skills used and learned, advancements or promotions while you worked at this company), and your Reason for Leaving (please be specific).
Please provide details of any food service or construction experience you have, including any experience while incarcerated, odd jobs, etc.*
If none type N/A
What was your favorite part of your last job and WHY?*
LEGAL HISTORY
Do you have any warrants, upcoming court dates or legal problems?*
- Yes
- No
If yes, please explain
Have you ever been convicted of a misdemeanor?*
- Yes
- No
If yes, list misdemeanor charge(s). If you were incarcerated, why and for how long (for each offense).
Have you ever been convicted of a felony?*
- Yes
- No
If yes, list felony charge(s). If you were incarcerated, why and for how long (for each offense).
Are you on probation, parole or work release?*
- Yes
- No
If yes, provide which option is correct, for how long, how often/what time, and your contact name and telephone.
HEALTH
Do you have health insurance?*
- Yes
- No
If yes, what kind?
Have you ever been diagnosed with any of the following?*
- Allergies
- Asthma
- Brain Injury
- Cancer
- Diabetes
- Digestive Disorder
- Epilepsy
- Heart Disease
- High Blood Pressure
- High Cholesterol
- Hypertension
- Immune System Problems
- Recurring Headaches
- Seizures
- Vision Impairment
- Other
- None of the above
Do you currently see a physician for any of the above concerns
- Yes
- No
If yes, provide the name, phone number and address of your doctor.
Are you taking any medications?*
- Yes
- No
If yes, provide medication name(s), reason(s), dosage(s), prescribing doctor(s) and date(s) you began taking it/them.
Have you ever been diagnosed with a mental illness?*
- Yes
- No
If yes, please provide diagnosis.
Are you on medication for the above illness?
- Yes
- No
If yes, for how long
Are you currently on any medication that may cause drowsiness or side effects?*
- Yes
- No
If yes, please explain.
List any allergies or issues that you have working with specific types of food:*
If none type N/A
SUBSTANCE USE
Have you ever used alcohol?*
- Yes
- No
If yes, please explain.
Have you ever used illegal drugs?*
- Yes
- No
If yes, please explain.
Do you have a history of alcohol and/or drug use?*
- Yes
- No
If yes provide your clean date
Month
Day
Year
Have you ever been in a drug or alcohol treatment program?*
- Yes
- No
If yes, provide program name, status (inpatient/outpatient/residential), attendance dates and if you completed it.
If you have used alcohol and drugs in the past, how have you maintained your sobriety? If you have used alcohol and drugs in the past, how have you maintained your sobriety?*
- I attend meetings
- I have a sponsor
- Not applicable to me
- Other
Do you currently use alcohol or any illegal drugs?*
- Yes
- No
PROGRAM REQUIREMENTS
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the 306 Foundation permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Foundation from any liability as a result of such contract.
I understand that full attendance is required for all eight (8) weeks.*
- I accept
- I don't accept
I understand that the facility is not responsible for damage, loss or theft of my personal property.*
- I accept
- I don't accept
I understand that the 306 Foundation has a drug and alcohol policy that provides for random and causal testing before and/or during the program.*
- I accept
- I don't accept
I consent to and am in compliance with such policy at the time of my enrollment.*
- I accept
- I don't accept
I understand that my continued enrollment is based on the successful passing of testing under such policy.*
- I accept
- I don't accept
I further understand that continued enrollment might be based on the successful passing of job-related physical examinations.*
- I accept
- I don't accept
I understand that I give my consent to have any of my voice, video, photo or other characterization used for any purposes for the Toolbox4Life, 306 Foundation or any and all affiliates, partners and donors purposes.*
- I accept
- I don't accept
I understand that I do hereby authorize the Toolbox4Life Training Staff to release any and all information about my case, including but not limited to, records of my communications, my attendance and behavior in the “Program”, and information provided in “Program” with staff to: (agency, case mgr., parole or probation officer).*
- I accept
- I don't accept
I understand that this release of information shall expire on one year after the date of signature on this form, unless revoked by me in writing at an earlier date. In addition, I hereby release the 306 Foundation and its officers, directors, employees, volunteers, from any claims arising out of the release of the information, photos, news releases, films or videos, described herein.*
- I accept
- I don't accept
I do hereby authorize (agency/case manager/parole or probation officer below) to release any and all information about professional services I have received from (agency/case manager/parole or probation officer below) since (date of service/relationship below), including but not limited to, records of appointments, diagnostic information, course of treatment to the 306 Foundation.*
- I accept
- I don't accept
ADDITIONAL AUTHORIZATION
Agency Case manager, parole or probation officer name:*

Type N/A if none.
Date of service/relationship:*

Type N/A if none.
I understand that I have the right to inspect the records described herein. In addition, I hereby release (agency/case manager/parole or probation officer), its officers, directors, and employees from any claims arising out of the release of the information described herein.*
- I accept
- I don't accept
Typing your name is equivalent to a written signature.*
- I accept
- I don't accept
Click accept and enter your signature below.
Enter your signature*
Signature Date*
PLEASE NOTE:
If you are called for an interview, you will need to bring the following items to the interview:

1. Driver’s license or state ID
2. Social Security Card
3. Original Birth Certificate
4. Referral Form; completed by case manager, employer, or other adult who knows you well.

The referral form is available to download on either the Culinary or Construction drop downs on this website. The person who completes the referral must seal it in an envelope so you, the applicant can bring it to the interview. We ask for these important documents because our partner, Career Source, will need them to complete its registration for you to be paid. The referral form is a required part of the interview process for consideration of joining the class to which you are applying and interviewing.

Culinary Application

PERSONAL INFORMATION

HOUSING

EMPLOYMENT HISTORY

LEGAL HISTORY

HEALTH

SUBSTANCE USE

PROGRAM REQUIREMENTS

ADDITIONAL AUTHORIZATION

PLEASE NOTE:

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