workNet DuPage logo Training, Connecting, and Developing
the Workforce of DuPage County

workNet DuPage Career Center
2525 Cabot Drive, Suite 302
Lisle, IL 60532

Ph: 630.955.2030   Fax: 630.955.2059
TTY: 630.955.2098
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Intake Information Form

If you are 17 to 21 years old, Click Here.

To use any of our Advanced Services – attending job search workshops, meeting with a Counselor, or applying for a WIA job training grant – you will need to complete an Intake Information Form. (The form is in PDF format, which requires Adobe Reader.)
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Intake Form (PDF)		 arrow buttonR
iconHaving difficulty?  
Downloading:
Right-click on the "Download Intake Form" button and:
  do "Save Target As..." if using Internet Explorer, or
  do "Save Link As..." if using Firefox.
Use the resulting Save dialog box to save the application to your computer's desktop.
Adobe Reader

Fill out all of the blank fields on the form.

Once completed, return the PDF to us by:
  Hand delivering it to the Career Center (get directions)
  Fax: (630) 955-2059, Attention: CSR
  Email: contactus@worknetdupage.org 
  (Remember to attach the completed PDF form to your email.)

Mac users: Please open and save the PDF using Adobe Reader.
The Mac application Preview does not save the PDF correctly.
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DuPage County Seal The workNet DuPage Career Center of DuPage County is an equal opportunity employer/program.
Auxiliary aids and services are available upon request to individuals with disabilities.
Copyright © 2010 workNet DuPage Career Center, DuPage County Workforce Development Division