Join MUSCLE - West Virginia Women Work

Join the MUSCLE

You’ve got skills, connections, and strength — and you’re ready to put them to work. Fill out this form to let us know how you’d like to be involved. Once we review your information, we’ll be in touch with next steps.

Name *

First

Last

What is your preferred name/nickname?

If you go by a name other than your given name please tell us here

Email *

Phone *

What city do you live in? *

What state do you live in? *

How do you wish to be contacted? *

Email
Text
Phone

Check all that apply

Your Role in MUSCLE *

I’m here to grow my career
I’m here to give support
I’m here to do both

Grow My Career

I’m interested in: *

Step Up for Women Construction
SkillUp (job readiness training)
PartnerUp (mentorship & networking)

Current employment status *

Employed
Unemployed
Underemployed (low wages, hours, no career path)

How soon are you looking to start a program? *

Immediately
1–3 months
3–6 months
Not sure yet

Give Support

Ways I can contribute *

Become a mentor
Employ Step Up Construction Graduates
Be a guest speaker
Offer training/workshop
Offer site tour for students
Offer job shadow for students and mentees
Donate tools, materials, or funds
Other (Please list below)

Check all that apply

Other ways I can contribute *

Area(s) of Expertise or Trades *

Preferred Involvement Frequency *

One-time
Occasional
Ongoing
Not sure yet

Current Household Income? *

0 - 10000
10000 - 25000
25000 - 50000
50000 +

Asked for grant reporting purposes only

What is your highest level of education? *

High School Diploma/GED
Some College
College Degree
Other

Asked for grant reporting purposes only

Highest level of education other *

Which classes do you prefer? *

Live, virtual session with instructor
Self-paced, work at my own speed on my own
A mixture of both live and self-paced classes

Which live, virtual classes do you want to enroll in? *

Resumes & Cover Letters
Budgeting & Credit
Communication
Goal Setting & Barriers
Online Persona
Career Exploration
All of the above

*Check as many as you would like to participate in.

What are you hoping to gain from the SkillUp program?

Are you currently a student or alumni of Step Up for Women Construction or Advanced Manufacturing? *

Yes
No
Applied previously but have not attended the program yet

Where did you learn about the PartnerUp program? *

Flyer
Trifold/Brochure
Social Media
During the interview for one of the Step Up for Women training programs
Current Step Up for Women student
Step Up for Women Alumni
Referred by someone (please let us know who)
In-person event (please list which event)
West Virginia Women Work Website

Who referred you to PartnerUp? *

Which in-person event did you learn about PartnerUp? *

How do you prefer communication between you and your mentor? *

Email
Text
Phone call
Zoom/Google Meet
In person

What barriers do you need help addressing? *

Lack of or Not Enough Food
Childcare
Homelessness
Addiction(drug or alcohol)
Domestic Abuse
Transportation
Expungement/Legal Issues
Disability/Health
Neurodivergent (Diagnosed or questioning)
No Current Barriers
Other (Please Explain Below)

List any other barriers you are currently facing. *

What are your current goals? *

Overcome Current Barriers
Budgeting/Credit Help
Get HSE (formally GED)/High School Diploma
Attend College/Vocational School
Career Exploration
Job Readiness Skills
Resume Writing/Review
Entrepreneurship
Other (Please Describe below)

Other Goals Not Listed Above *

Is there anything else you would like us to know about you?

Where did you learn about Step Up for Women? *

If you selected "Other", please specify: *

If you selected "In Person Event", please specify: *

If you were referred by a previous graduate, what is their name? *

Step Up site closest to you: *

Kanawha Valley (Charleston)
North Central (Morgantown)

These locations are both in West Virginia

What are the last 4 digits of your social security number? *

Address

Address Line 1

Address Line 2

City

State

Zip Code

What county do you currently live in? *

Example: Kanawha, Lincoln, Putnam, Clay, Monongalia

Do you currently have a driver's license? *

Yes
No
Yes, but it's suspended

Do you own a car and is it available for personal use? *

If no car, how do you plan on getting to class/work? *

Are you currently married or in a relationship? *

Yes
No
Separated
Divorced
Widow

Do you have dependents? *

How many dependents do you have? *

Number of people in household? *

Are you willing and able to obtain full time employment at the conclusion of training? *

Yes
No (Please explain why not below)

Explain why you are not able to obtain full time employment at the conclusion of training *

education the past

Do you currently or are you scheduled to receive Unemployment Compensation? *

If yes, when will your UC benefits end? *

Check any that apply to you: *

Single Parent
Displaced Homemaker
Head of Household
Veteran
None of the above

*A displaced homemaker is someone who has spent most of their time taking care of their family without pay (like a stay-at-home parent) and is now out of work or working a low-paying job, and having trouble finding a better job.

Check any forms of assistance you currently receive: *

Snap
WV Works/TANF
SSI
SSDI
Veteran Benefits
Medicaid
Section 8 rental assistance/HUD
WIC
None of the above

Are you currently in recovery from substance abuse? *

Yes
No
Formerly in recovery
I would like more information about getting help for substance abuse

Do you have a physical or mental disability that requires accommodations that you must consider when looking for a job? *

Yes (Please explain below)
No

If yes, please explain: *

Have you ever been convicted of a felony? (Your answer will not impact the outcome of your application) *

What were the charges? *

Did your conviction result in incarceration? *

Have you ever been convicted of a misdemeanor? (Your answer will not impact the outcome of your application) *

What were you charged with? *

If on parole/probation can we speak to your parole/probation officer? *

Why are you interested in enrolling in the Step Up For Women training program? *

Check any of the following Math levels completed while in school: *

Basic Math
Algebra
Geometry
Trigonometry
Other

What other math levels have you completed? *

List all vocational technical courses completed:

Include course title, year completed, and school.

List all degrees and certificates, year received, and school:

If currently employed what is your hourly wage? *

What do you make an hour? Example $10.00

Employment history: Include title and wages for the past five years *

List most recent jobs first.

Any additional information you would like us to know:

Do you have reliable access to a computer you can use for class? *

Yes
No, I will need to borrow one

Don't worry if you do not, we have laptops we can loan to use for class.

Do you have reliable access to the internet for class? *

Don't worry if you do not have internet access. We can make arrangements for you to use the internet at a local library or on Fridays at our office.

Please indicate how you identify yourself: (We will use this data for grant reporting. All data will remain anonymous and will only be used for this purpose.) *

American Indian or Alaska Native (including all Original Peoples of the Americas)
Asian (including Indian subcontinent and Philippines)
Black or African American, not Hispanic (including Africa and the Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White, not Hispanic (including Middle Eastern)
Hispanic or Latino
Two or More Races (not Hispanic or Latino)
Other
Prefer not to answer

Do you consider yourself part of the LGBTQIA+ community? (We will use this data for grant reporting. All data will remain anonymous and will only be used for this purpose.) *

Yes
No
Prefer not to answer

By submitting this form, I give West Virginia Women Work and its staff permission to contact me by email, phone, or text message regarding my application and program participation. Standard message and data rates may apply. I can opt out at any time.

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