DHS| Human Resources

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First Name *
Last Name *
Middle Name
Last 4 of SSN *
Contact Phone Number *
Contact Email Address *
Street Address *
Zip Code *
Ward *
Highest Education Completed *
Name/Location of High School *
CASAS Needed
Preferred Job Industry
Vendor Name
Computer Literacy *
Select TANF Categories
Over 60 months
Rapid Rehousing
OWO ERU

Employment History

Employer Company Name*
Employer Contact Person *
Company Address
Position Title*
Describe Job Duties:
First Date of Employment (mm/dd/yyyy)*
Last Date of Employment (mm/dd/yyyy) *

All applications require you to upload the following supplemental documents:

Cover Letter *
High School Diploma or GED Certificate  or College Transcript *

Upload Resume *

I certify that all of the above mentioned information is true and complete to the best of my knowledge, and that participating in the interview process for LEAP does not guarantee acceptance in the program and/or employment at the end of the training.

District of Columbia: Department of Human Services

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