Florida Department of Transportation
Roads to Jobs
Life Skills for Construction Careers

Enrollment Form

Name:
Address:
City, State, Zip:
Phone:
Email (if available):
Are you over the age of 18 and eligible to work in the United States?     Yes     No
 
Gender:     Male     Female
 
Please share your race and ethnicity so that FDOT can continue to receive funding from the Federal Highway Administration to provide this free service. Select all that apply:
African American     Asian     Hispanic/Latino     Middle Eastern     Native American
Pacific Islander     White     Other     Would rather not say
Primary language:   English     Spanish     Other
 
For which class are you registering? :  
 
How did you hear about Roads to Jobs?
Roads to Jobs Flier     Roads to Jobs website     Referred     Other

Education
High School (Name and City/State of School):
Other:

Skills and Qualifications
Please list any special skills, licenses, certificates, trainings:

Previous Employment
Employer:
Location:
Position Title:
Dates of employment:
From:     To:
Responsibilities:

Previous Employment
Employer:
Location:
Position Title:
Dates of employment:
From:     To:
Responsibilities:

Resume
Upload resume in PDF, DOC or DOCX format: