Please use email you check, as this will be the initial form of communication.
Mobile or Other Primary Phone * Island Island O'ahu Maui Kaua'i Hawai'i Island Other/None Gender * Gender Male Female Decline to answer Race (check all that apply) * Are you a BSH employee? * Are you receiving government benefits? * Education Education Level * Highest Level of schooling completed Less than High School High School or Equivalent Associate's Degree Bachelor's Degree Master's Degree Apprenticeship Area of degree or apprenticeship Are you currently attending or have previously attended a UH campus? * Employment Employment Status * Current employment status Unemployed Employed Employed but received letter of termination Underemployed (less than full-time) Have you recently lost your job or hours? * Name of Employer Position/Job Title Healthcare Provider * select one AlohaCare HMSA HMAA Kaiser Permanente United Healthcare 'Ohana Health Plan PSWA Other No Coverage Coverage Until Are you employed in your field of study? Additional Information Were you referred to BSH? * If yes, how? Mailed advertisement Mailed advertisement Friend/Relative BSH/Hariett/Local5 Staff Employer Community Agency Social Media Posted Flyer Other What program(s) are you interested in? * Why do you want to take this training * Type of employment seeking (check all that apply): * Do you have (check all that apply): What are your training goals; what do you hope to learn? * What are your career goals? Do you require any support services: 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. *