MERS Goodwill SCSEP Contact Form

Please complete the form below if you would like more information about the Senior Community Service Employment Program (SCSEP). Those that are interested in applying must be age 55 or older, unemployed, meet income guidelines, and live in a county served by MERS Goodwill. Enrollment is limited by available positions and once you apply, you may be placed on a waiting list. This form is not an application to the program.

First Name*

Last Name*

Phone Number*

E-mail Address

County of Residence - Please note that MERS Goodwill serves ONLY the Counties in this list.*

Home Address (for mailing applications or other information)

City

State

Zip Code