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Brownwood Workforce Center Closing at 3 p.m. on Sept. 28
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Hiring Red, White, & You (Veteran Job Fair)
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World of Work (WOW) Youth Expo (Abilene)
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The following form may request personally identifiable or protected health information. Please see our
for details. This form is encrypted. SSL is on to ensure a higher level of security. A recaptcha must be completed before submission, you cannot save progress, and you cannot receive an email copy of the form.
Reloadable Debit Card Receipt and Acknowledgement
This form has been modified since it was saved. Please review all fields before submitting.
The individual shown as the customer on this form is receiving a debit card that will be loaded with funds to assist them in completing workforce-supported activities.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that: your application will not be signed in the sense of a traditional paper document, by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, you may still be required to provide a traditional signature at a later date.
I hereby accept these terms.
Equal Opportunity Employer/Program
Auxiliary aids and services are available upon request to individuals with disabilities. Relay: 1-800-735-2989 (TTY) / 711 (Voice). Este documento contiene información importante sobre los requisitos, los derechos, las determinaciones y las responsabilidades del acceso a los servicios del sistema de la fuerza laboral. Hay disponibles servicios de idioma, incluida la interpretación y la traducción de documentos, sin ningún costo y a solicitud.
These services are funded in whole or in part with federal funds. More detailed information is located on the Board’s website.
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