Bright Futures Application

PLEASE NOTE: This application must be submitted by August 12, 2022.

Phone

What type of transportation will you use to attend classes? (check all that apply)

I have a vehicle

Public Transportation

Friend/Family member will take me

If I am accepted into the Bright Futures Program, I would like to learn more about transportation options.

Important

Applications will be reviewed by the Bright Futures Committee. Eligibility will be based on responses to the questions on the application. The intent of the application is to ensure curriculum is appropriate and effective for all individuals involved in the class.
Class size is limited but there may be other opportunities to attend Bright Futures in the future. If the current class becomes full, please be encouraged to reapply for classes in the future.

In order to inform Delaware County Community College of your interest in attending Bright Futures, your application will be viewed by some of the teachers and staff of the school. Please sign below to indicate that you have been informed and agree to your application being submitted to Delaware County Community College’s Bright Futures Program for review.

First Name

Last Name

Choose how to sign

Draw Type

Eligibility

How did you hear about the Bright Futures Program?

Are you 18 years of age or older?

Do you live in Chester County?

Are you receiving services for a serious illness other than substance abuse?

Employment/Education

Are you currently receiving employment or education services?

What agency is providing employment or education services to you?

I would like to explore topics related to work and career.

What topics appeal to you? (Select all that apply)

Paid work

Volunteer Work

Education/Training

Full Time

Part Time

What type of work are you interested in exploring?

Why do you want to work?

Are you interested in attending college?

Current Employment

Are you currently employed?

Employment Status

Start Date

Employer Name

Job Title

City and State of Employment

How long have you been unemployed?

Reason for unemployment

Employment History

Start with your most recent job and work backwards. Include paid and volunteer work.

Name and location of employer

Job Title

Select type of employment

Describe duties

Describe what you liked about this job and what you did not like about this job.

Start date and end date of employment

Reason for leaving

Would you like to add another job to your employment history?

Name and location of employer

Job Title

Select type of employment

Describe duties

Describe what you liked about this job and what you did not like about this job.

Start date and end date of employment

Reason for leaving

Would you like to add another job to your employment history?

Name and location of employer

Job Title

Select type of employment

Describe duties

Describe what you liked about this job and what you did not like about this job.

Start date and end date of employment

Reason for leaving

Education History

Highest Level of Education Completed

Please include any schooling or training experience AFTER high school. Start with your most recent schooling and work backward.

School Name

Major Course of Study

Did you receive a degree?

Degree Received

Bright Futures Schedule

If you are accepted into the Bright Futures program, you will be expected to attend and participate in all scheduled classes. Are you able to make a commitment to attend all scheduled classes?

Why do you want to attend Bright Futures?

What is your biggest challenge in attending Bright Futures?

How will you address this change?

Describe any special accommodations needed to attend class

Other Comments