Student Application

Through life and career skills, CJC offers men and women the opportunity to reach their full potential.

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Fill out below, or if you prefer, you may download and print the application form. Please email completed forms to or mail to:

Christian Job Corps
P.O. Box 525
Huntsville, AL 35804

Those between 18 and 60 years old are given top priority in this program.

Class Location

Applicant Information

Applicant Name

Present Situation

Christian Job Corps (CJC) does not provide childcare, but if you qualify and are accepted into the program, we are able to partner with another organization to provide a limited number of childcare.
Please note, we observe the Huntsville City Schools calendar.
Please note, church attendance is not a requirement to enter the CJC program.

Future Plans


Work History

Please list past jobs you have had, starting with the most recent:
Job #1
Job #2


Choose one.


List three people who are NOT related to you that CJC has your permission to contact for a reference. Please include work-related references (coworker or supervisor).
Reference #1
Reference #2
Reference #3


I am willing to be drug tested (at the expense of CJC) to enter the program?
According to CJC policy, I will be suspended if a drug or alcohol addiction occurs while I am participating in CJC of Madison County.

You must provide proof of US citizenship or legal residency (driver’s license, birth certificate, social security card, green card, etc.). This information will be collected at the interview, following the submission of this application.

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