FareStart Programs Application

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Page 1

What program are you applying for?

Barista & Customer ServiceFood Pathways

Program Requirements

	Yes	No
I am 18+ years of age.
I am 18-24 years of age.
I experience barriers to employment such as unstable housing and/or earning low-income.
I am available to train for up to 7 hours a day Monday through Friday and can prioritize FareStart’s schedule.
I am available to train Monday through Friday, between 7:30am to 3:30pm, 20+ hours per week.
I am eligible to work in the U.S.
I have a valid employment ID.
I am a resident of King County, Washington.

Calculated fields (HIDDEN)

Program selected

Is age eligible?

Is available to train?

Start Date

Programs start every month. Which month do you want to get started?

(for example, March 2025)

Student/Contact Information

Legal First Name

Legal Middle Name

Legal Last Name

Preferred/Chosen Name

Birthdate

Select date from calendar or enter as MM/DD/YYYY

Social Security Number

Is English your preferred language?

YesNo

If not English, which language do you prefer?

Are you a U.S. Citizen (or Permanent Resident of the U.S.)?

YesNo

Contact Information

Mobile Phone

Other Phone

At least one phone number is required.

Phone Validation (HIDDEN)

Mobile Phone Provided

Other Phone Provided

Phone numbers provided

What is your current housing situation?

I have a permanent address.I don’t have a permanent address, am only temporarily housed, or am currently unhoused & experiencing homelessness.

Which of the following best describes your current housing?

Specify if other

Permanent Address

Street

City

State

Zip Code

Mailing Address

Same as permanent address

Street

City

State

Zip Code

Mailing Address to be passed to SF (HIDDEN)

Mailing Street for SF

Mailing City for SF

Mailing State for SF

Mailing Zip Code for SF

Page 3

Application Agreement

I certify that the information provided in this application is true to the best of my knowledge. I am also aware that the information I have provided is subject to review and verification, and I may have to provide additional documentation to enroll. I allow release of this information to FareStart staff for verification purposes and for background checks. I understand that providing false information may result in termination from FareStart programs.

Applicant's Full Name

Date

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