Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Begin by entering the date at the top of the form, using the format MM/DD/YYYY.
3. Fill in your full name in the designated fields: last name, first name, middle name, and any other names you have used previously.
4. Provide your current address, including city and zip code, along with your home and cell phone numbers.
5. Input your date and place of birth, along with your marital status, sex, race, age, height, weight, hair color, and eye color.
6. Enter your Social Security number and driver's license number, including the expiration date.
7. Indicate whether you have reliable transportation, if you have participated in the Alternative Work Program previously, and whether you completed the program. Provide additional details if applicable.
8. In the employment information section, write your occupation, employer's name, and address. Include your supervisor's name and contact number.
9. For emergency contact, provide the name, relationship, address, and contact details of your chosen contact person.
10. In the medical information section, answer questions regarding your current medical care, medications, medical history, and any relevant conditions.
11. Finally, ensure to sign the application form to validate your submission.
12. After completing the form, save your changes, and download, print, or share the application as needed.

Complete your CA Alternative Work Program Application online today!