Online Application

CWJC Program Application

Please fill in all of the blanks and then hit submit.

Emergency Information


How long have you lived at your current address?

List everyone who lives in your household.


Please list your Education Level (please check all that apply)
GEDHigh SchoolAttend CollegeGraduate College


Please check the amount you receive per month (this does not effect eligibility):

Names and Birthdates of your Children:

Employment History

Where have Your worked? (Please list your employer, your position and the dates you worked there)

Social Network

By signing below, I certify all information is true and correct to the best of my knowledge.


Here’s what our students had to say about our program:

I didn’t have a Highschool Degree, and they helped me get a Highschool Equivalent Degree. And I passed the first time I tried! Yes.
Sophia Jones
CWJC really helped build my confidence during an interview and the certificate I got helped me find a better paying job! Highly recommended.
Janice Green
The instructors were great. You could tell that they really wanted to help. I loved it!
Kate Lewis
5 stars all around. Not only did this program help me. It helped my daughters. Now we are all employed.
Luanne Harvey
I struggled holding on to a job. I lacked social skills and they really held me back. CWJC worked with me and now I am doing great.
Kelly Johnson