Goodwill Kentucky Workshop Registration

Contact information

Use an email address you can access for your participant dashboard.

First name *

Last name *

Email address *

Phone number *

Identity and mailing address

These details help us obtain the correct Kentucky records.

Date of birth *

Social Security number *

Alias or maiden name, if applicable

Street address *

Apartment, unit, or address line 2

City *

County *

State *

ZIP code *

A little more about you

Fields marked * are required. The other questions are optional.

Middle name

Gender *

Career coach or facilitator name

Driver license or state ID number *

Highest education completed *

Primary language *

Veteran/Family Status (select one) *

Race (select all that apply) *

Select one or more choices.

Hispanic origin *

Are you a current Goodwill employee? *

What would you like us to know about your criminal convictions?

Medical provider *

Other information you would like us to know

Permissions *

Screening for this workshop may include a Kentucky Certificate of Eligibility (COE) or background check requested through Clear Court Cases. Both permissions are required to register. Registration does not guarantee eligibility for expungement.

Your next step
starts here.

You’re on the list.

Choose your workshop

Contact information

Identity and mailing address

A little more about you

Your next stepstarts here.

You’re on the list.

Choose your workshop

Contact information

Identity and mailing address

A little more about you

Your next step
starts here.