Apply to Code Louisville

Please use this form to sign-up for Code Louisville. This will add you to the waiting list to enter the program. At this time we cannot provide estimates on when your class begins.

The information is this form will be used by KentuckianaWorks, the Workforce Development Board of the Kentuckiana region, to determine eligibility for the Code Louisville program and our partner, Jefferson Community and Technical College. Your personal information will not be shared with any other organizations beyond these.

Please note that you will eventually be required to enroll in JCTC as a student which means tuition and fees. See our Learn page for details on how this will work.

Once your class is scheduled to begin you may be asked to provide documents verifying your age, eligibility to work, and if necessary any fields that may grant you priority of service - such as veteran or low-income status. If you do not have these documents on hand (examples include: Social Security Card, Passport, Birth Certificate, or DD214), you are advised to begin acquiring one now so you are ready when it comes time to enroll.

IMPORTANT NOTE: If you have already applied before using this form, do not apply a second time as this may overwrite your first application, moving you further back in line. Please contact if you have questions about your application.

Application Form

We need your SSN in order to verify your eligibility for the Code Louisville program and the services provided through KentuckianaWorks.

Your information will be securely stored and will never be shared with any 3rd parties.

What is your race(s)?

  American Indian / Alaskan Native




  Native Hawaiian or Other Pacific Islander

  I do not choose to identify

Please check any of the following benefits that apply to you:

  Public Assistance (cash) income support through programs such as TANF/KTAP, SSI


  Homeless temporary residence/shelter

This includes spouse and any dependent children. Income is used to determine if you meet certain requirements that would allow you to be moved to the front of the waiting list.

You will be asked to verify this information via paystubs or other methods if you are selected for Priority of Service.

What classroom locations are you available to attend?

  Downtown Louisville

  Jeffersonville, IN

  La Grange, KY

  I will adhere to the Code Louisville Code of Conduct

By submitting this form, I agree, understand and/or acknowledge that:

The submitted information above is true and complete to the best of my knowledge.

The submitted information will be entered into the Code Louisville / KentuckianaWorks database, managed by @WorkSolutions.

Code Louisville is funded through a U.S. Department of Labor Workforce Innovation Fund Grant, and the information above will be used to evaluate the Code Louisville program for reporting and improvement purposes. As a result, I am part of a long-term study.

Code Louisville / KentuckianaWorks will NOT report my identifying information for the long-term study. Any data reported in the long-term study will be void of name, address, or other identifying information.

Code Louisville / KentuckianaWorks has my permission to use the above information for follow up (enrollment) activities related to the program.

Neither Code Louisville nor KentuckianaWorks discriminate on the basis or race, color, national origin, sex, religion, age or disability in employment or provision of services.

I agree    I do not agree

Please fill in ALL required fields