Welcome to the
National Work Readiness Credential
Assessment Site Application

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NWRC recommends reading "Becoming an NWRC Assessment Site" before completing this application.

Site Contact Information
Venue Name:   Venue Type:  
Affiliation:      
Street Address:   City:  
State:   Zip:  
Contact First Name:   Contact Last Name:  
Phone:   Fax:  
Position:   Email Address:  
Technical Contact First Name:   Technical Contact Last Name:  
Technical Contact Phone:         

Why are you interested in being a test site for National Work Readiness Credential (WRC)?  
Was your site part of the WRC field test?   Yes   No  
Does your organization also plan to offer training to help individuals develop the skills necessary to pass the WRC assessment?   Yes   No  
If not, will you be able to refer individuals who don't pass the assessment to an education or training program in your area that will offer such assistance?   Yes   No  
Please provide name and contact information for such organizations. (Optional)  
How many computers at your site could be used for delivering assessments?  
Approximately how many candidates would take the assessments at your site each year?  
Are the candidates at your test site: (Please select all that apply.)  
        Employees:
        Job Seekers:
        Trainees:
        Adult Basic Education or English Language Students:
        High School Students:
        Other:
            Please elaborate:
If you are an employer and the prospective assessment candidates at your site are job applicants or employees, please identify the industry and occupation(s).  
If you are an education, training or other workforce site, please identify businesses in your area that you regularly refer job applicants to. (Please identify name of company and kind of business it is.)  
One goal of the Soft Launch is to collect operational data to confirm our validity measures. Are you willing to work with the National Work Readiness Council (NWRC) to collect follow-up data on test takers to help us determine the impact of the WRC for individuals and for employers?   Yes   No  
Candidates will be required to confirm their identity prior to testing. Do you anticipate that your candidates will have government-issued or other photo identification?   Yes   No  
If no, is there an alternative method of confirming candidate identity that your site would propose?  
Do you agree to the "Security Attestation Statement"?   Yes   No  

Candidate Seasonality
During which months do you anticipate most of your candidates will take the assessments?  
January:   February:   March:   April:  
May:   June:   July:   August:  
September:   October:   November:   December: