Intake Application Form

YOUTHBUILD CHECKLIST

  1. You must attend the Information Session.
  2. You must take the table tests.
  3. You must complete the interview.
  4. You must complete the application.
  5. You must turn in all required documents.
    • State picture ID or Passport
    • Social Security Card
    • Birth Certificate or Passport
    • Proof of Address
    • Proof of Income
  6. You must complete mental toughness

CNA TRACK  Requirements additional(must be 18-24 age)

  1. Must turn in a copy of High School Diploma/GED transcripts or certificate
  2. Must score and 8th grade or higher on the table test
  3. Must complete mental toughness
  4. Must complete Sep 2 TB and physical test (CCAC Form)
  5. Must attend CCAC Informational Session
  6. Must complete CCAC Table test
  7. Must Complete CCAC Application Packet
  8. Must Complete background check (criminal and abuse check)

Important documents you will need during completion of your Application

  1. State picture ID or Passport
  2. Social Security Card
  3. Birth Certificate or Passport
  4. Proof of Address

Additionally, Important Documents for CNA

  1. Step 2 TB and physical Test (CCAC Form)
  2. CCAC Application Packet