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Advanced Manufacturing Training Registration
This is available for individuals, 18-24, who are out of school, underemployed, and looking for a new
career opportunity. Justice involved are welcome to apply
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Participant First Name
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Your answer
Participant Last Name
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Your answer
Participant Mobile Number
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Your answer
Participant Secondary Contact Number
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Your answer
*
Your answer
Enrolled in YES?
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Yes
No
Does participant have a High School Diploma or Equivalency?
Yes
No
Clear selection
Is the participant Justice Involved or have a pending case?
Yes
No
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Does participant have a driver's license?
*
Yes
No
Does the participant have six months or more of stable work history?
*
Yes
No
Career Navigator Name
Your answer
Career Navigator Email
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Community-Based Organization
*
Option 1
Edna Martin
Fathers and Families Center
Flanner House
Goodwill
Keys To Work
Martindale-Brightwood CDC
Mary Rigg
PACE
YMCA
Other:
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