Updated October 2019
YES Duluth Application
Duluth Workforce Development
402 W 1
st
St, Duluth, MN 55802
yesduluth@duluthmn.gov
Fax: 218-730-5952 | Phone: 218-302-8400
Applicatio
n Date:_________________________ Referred By: _________________________________________
Personal Information
Middle Name: ____________________
Apt # City:_________________ ZIP:
Alternate Phone:____________________________________
Birth Date:
Age Today:
First Name:
Last Name:
Street Address:
Phone:
Email Address:
Gender: Male Female
Prefer not to self-identify
If yes, Active Duty Start:_______________ End Date:_________________
Veteran status: I am a veteran Yes No
I am currently attending High School or Junior High Yes No
If yes, I am attending (circle one): ALC Denfeld East HS Harbor City Int’l Other_________________
If yes, are any of your classes online? Yes
No
If no, what is the highest grade completed?________________
I have completed ABE/GED Orienta�on Yes No
I am working on my GED Yes No I am working on my GED online Yes No
I have a goal of getting my GED Yes No
I am attending post-secondary school (college or technical) Yes No
If yes, I am attending: LSC WITC Fond-du-Lac UMD CSS Other___________________
My educa�on goal________________________________________________________________________________
Employment status:
I am currently employed Yes No
If no, my last day of work was__________________
If yes, my job is: □ Part-Time □ Full-Time □ Temporary
My employment goal______________________________________________________________________________
School Status:
Return Completed
Application to:
