Please register your information below (HVAC Interns) Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailPlease use email you check, as this will be the initial form of communication.Mobile or Other Primary Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIslandIslandO'ahuMauiKaua'iHawai'i IslandOther/NoneGender *GenderMaleFemaleDecline to answerDate of Birth *Race (check all that apply) *American IndianBlack or African AmericanWhiteHispanic/LatinoNative Hawaiian or Part HawaiianOther Pacific IslanderFilipinoChineseJapaneseKoreanVietnameseOther AsianAre you a BSH employee? *YesNoAre you a US citizen? *YesNoAre you a Veteran? *YesNoAre you authorized to work in the US? *YesNoAre you receiving government benefits? *YesNoCurrent Gov. BenefitsEducationEducation Level *Highest Level of schooling completedLess than High SchoolHigh School or EquivalentAssociate's DegreeBachelor's DegreeMaster's DegreeApprenticeshipArea of degree or apprenticeshipAre you currently attending or have previously attended a UH campus? *YesNoEmploymentEmployment Status *Current employment statusUnemployedEmployedEmployed but received letter of terminationUnderemployed (less than full-time)Was your employment negatively affected by COVID-19 on or after March 4, 2020? *YesNoName of EmployerPosition/Job TitleStarting Salary(Estimated hourly rate or annual salary)Ending Salary(Estimated hourly rate or annual salary)Healthcare Provider *select oneAlohaCareHMSAHMAAKaiser PermanenteUnited Healthcare'Ohana Health PlanPSWAOtherNo CoverageCoverage UntilOther HealthplanAre you employed in your field of study?YesNoAdditional InformationWere you referred to BSH? *YesNoIf yes, how?Mailed advertisementMailed advertisementFriend/RelativeBSH/Hariett/Local5 StaffEmployerCommunity AgencySocial MediaPosted FlyerOtherWhat program(s) are you interested in? *HVAC OTJ Training ProgramElectrical OTJ Training ProgramWhy do you want to take this training *Obtain employmentCareer advancementChange of careerContinuing educationWage increaseOtherType of employment seeking (check all that apply): *Full-timePart-timeTemporaryShift WorkContractDo you have (check all that apply):High-speed/Broadband InternetDesktop or laptop computerSmartphoneHeadsetWhat are your training goals; what do you hope to learn? *What are your career goals?Do you require any support services:Childcare SubsidyTransportation Subsidy (Bus Pass)By submitting this application, I certify that the above statements are true to the best of my knowledge. I give my consent to Banquet Solutions Hawaii Inc. to provide my application information to another appropriate agency or partner for support services. *AgreeSubmit
