MVCC FSET Program  
MVCC Food Stamp Employment and Training Preliminary Application

Mohawk Valley Community College’s Educational Opportunity Center is designed to help area residents further their education by completing secondary school and entering college. Completing this pre-enrollment survey will help MVCC/EOC staff select those who can benefit from the project.

Name: (Last, First, Middle Initial):     Last , First M.I.
Home E-Mail:

Home Address
City     State Zip
Daytime Phone: Cell Phone:
Date of Birth: / /

Currently Employed : Yes No

Are You Currently Interested In: Healthcare Training Construction Training
Most Recent (or current) Place of Employment: 
Job Title 
Dates of Employment: 
Other Work History/Comments/Vocational Courses 

Please help us by assessing your level of knowledge in these areas. Please check all that apply.

  Computer Skills (Basic Computer Operations/keyboarding, Word, Excel, Access)
  Customer Service: (Experience working in a setting helping individuals and providing customer service)
  Construction: (Any current certifications that you have, any previous experience)

  No High School Diploma or GED   Interested in obtaining GED
  Earned GED   High School Graduate
  2-Year College Graduate   4-Year College Graduate
  Trade/Vocational School   Attended College (did not complete)

If you have any educational coursework that would relate to the needs of cyber employers, please idicate below. 

If you have any Questions, Please contact 792.5300.