Supply Chain Training Application

Supply Chain Training

Treasure Coast Food Bank’s Supply Chain Training Program prepares individuals for careers in logistics, warehousing, and inventory management—fields essential to keeping communities connected. This application helps us learn more about your interest and readiness to join the program. By submitting it, you’re taking the first step toward building practical skills and exploring new opportunities in a growing industry.

SUPPLY CHAIN TRAINING PROGRAM

Please fill with all the required information. The form should take a few minutes to complete. If you need more time to complete, please scroll down to the bottom of the page and click on "Save and Continue Later" This will allow you to save the application and continue at a later time.

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PERSONAL INFORMATION
Name
First Last
Permanent Address*
Street Address Address Line 2 City State ZIP Code
Is the permanent address different from your mailing address?*
- No
- Yes
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Email Address*
Date of Birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
Are you a citizen of the United States?*
- Yes
- No
If no, please provide authorization number
Is English your first language?*
- Yes
- No
Have you been convicted of a criminal offense?*
- Yes
- No
Please select one*
- Felony
- Misdemeanor
Please explain number of convictions, nature of offenses leading to convictions, how recently such offenses were committed, sentences and types of rehabilitation.*
Do you have a valid driver’s license?*
- Yes
- No
State Issued*
Driver's License Number*
What are your means of transportation to the program?*
Are you able to comfortably stand for long periods of time?*
- Yes
- No
Are you able to lift up to 50 pounds?*
- Yes
- No
Have you applied for our program before?*
- Yes
- No
If yes, when?*
MM slash DD slash YYYY
Have you ever worked for or volunteered with Treasure Coast Food Bank?*
- Yes
- No
If yes, please describe your role*
Please indicate your preferred 2019 enrollment session:*
- February 3 - May 18, 2020
Please identify any assistance you many need while enrolled
- Housing
- Child Care
- Health Care
- Smoking Cessation
- SNAP
- Other
EDUCATION AND WORK HISTORY
Select what applies*
- High School
- College
- Vocational/Trade
- Other Training
High School
High School Name City State
Highest Level Completed*
Did You Graduate*
- Yes
- No
College
College Name City State
Highest Level Completed*
Did You Graduate*
- Yes
- No
Course of Study*
Degree
Vocational/Trade School
College Name City State
Highest Level Completed*
Did You Graduate*
- Yes
- No
Course of Study*
Degree
Other Training
College Name City State
Highest Level Completed*
Did You Graduate*
- Yes
- No
Course of Study*
Degree
References
Please list three employers, starting with the most recent
Reference #1*
Name of Employer City State
Start Date
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Position Held
Name of Supervisor
May We Contact Employer?*
- Yes
- No
Phone
Duties/Responsibilities*
Reason for Leaving*
Reference #2*
Name of Employer City State
Start Date
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Position Held
Name of Supervisor
May We Contact Employer?*
- Yes
- No
Phone
Duties/Responsibilities*
Reason for Leaving*
Reference #3*
Name of Employer City State
Start Date
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Position Held
Name of Supervisor
May We Contact Employer?*
- Yes
- No
Phone
Duties/Responsibilities*
Reason for Leaving*
GETTING TO KNOW YOU: PAST, PRESENT AND FUTURE
The Supply Chain Training Program is all about making positive changes in your life, conquering fears, and overcoming the challenges and obstacles that may have kept you from pursuing your personal and professional dreams. We want to learn more about you so we can help you reach your goals. In the spaces below, tell us about where you’ve been, where you are now, and where you want to be.
WHERE YOU’VE BEEN — THE PAST:
First, please describe in detail the challenges you’ve faced in the past that may have kept you from obtaining or keeping a job, completing your education, or have held you back in other ways (i.e. poverty, substance abuse, criminal history, illness, disability, lack of experience or skills, etc.) Please attach another sheet of paper if necessary:*
WHERE ARE YOU NOW — THE PRESENT:
How would your friends describe you?*
Tell us about your living situation and family*
What daily challenges are you facing that may be keeping you from reaching your goals?
Describe your favorite food or favorite meal. Why is it your favorite?
What other interests do you have? Check all that apply:*
- Music
- Outdoor Activities
- Crafts
- Cooking/Baking
- Volunteering
- Reading
- Computers
- Photography
- Writing
- Drawing/Painting
- Movies
- Sports
- Other
Why are you applying to TCFB’s Supply Chain Training Program?*
What do you think you will enjoy about working in the supply chain industry? The trucking business?*
Is there any additional information you’d like to include about yourself?
Consent*
I agree to the statement below.
I certify that all answers and statements on this application are true and complete to the best of my knowledge, and that I meet the application criteria. I understand that, should this application contain any false or misleading information, my application may be rejected or my participation in this program immediately denied.

Can’t find what you’re looking for? Contact Us

Treasure Coast Food Bank is an equal opportunity provider.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online, at this link , from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

fax:
(833) 256-1665 or (202) 690-7442;

email:
program.intake@usda.gov
This institution is an equal opportunity provider.

Para todos los demás programas de asistencia de nutrición del FNS, agencias estatales o locales y sus subreceptores, deben publicar la siguiente Declaración de No Discriminación:

De acuerdo con la ley federal de derechos civiles y las normas y políticas de derechos civiles del Departamento de Agricultura de los Estados Unidos (USDA), esta entidad está prohibida de discriminar por motivos de raza, color, origen nacional, sexo (incluyendo identidad de género y orientación sexual), discapacidad, edad, o represalia o retorsión por actividades previas de derechos civiles.

La información sobre el programa puede estar disponible en otros idiomas que no sean el inglés. Las personas con discapacidades que requieren medios alternos de comunicación para obtener la información del programa (por ejemplo, Braille, letra grande, cinta de audio, lenguaje de señas americano (ASL), etc.) deben comunicarse con la agencia local o estatal responsable de administrar el programa o con el Centro TARGET del USDA al (202) 720-2600 (voz y TTY) o comuníquese con el USDA a través del Servicio Federal de Retransmisión al (800) 877-8339.

Para presentar una queja por discriminación en el programa, el reclamante debe llenar un formulario AD-3027, formulario de queja por discriminación en el programa del USDA, el cual puede obtenerse en línea en: este enlace , de cualquier oficina de USDA, llamando al (866) 632-9992, o escribiendo una carta dirigida a USDA. La carta debe contener el nombre del demandante, la dirección, el número de teléfono y una descripción escrita de la acción discriminatoria alegada con suficiente detalle para informar al Subsecretario de Derechos Civiles (ASCR) sobre la naturaleza y fecha de una presunta violación de derechos civiles. El formulario AD-3027 completado o la carta debe presentarse a USDA por:

correo:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

fax:
(833) 256-1665 or (202) 690-7442;

correo electrónico:
program.intake@usda.gov
Esta entidad es un proveedor que brinda igualdad de oportunidades.

Supply Chain Training Application