OIC Program Registration Form

OIC/DC Program Inquiry

Please fill in the form below.
*Must be resident of Washington, DC

*Must be 18 years of age

*Must have High School Diploma or GED
Today's Date *

Month Day Year
Date
Program Interest
First Choice *

A+ Computer Repair Customer Service Home Health Aide Microsoft Office Specialist
Second Choice (if applicable (blank is okay)

A+ Computer Repair Customer Service Home Health Aide Microsoft Office Specialist
Any other program of interest?
You must have access to a computer (not a phone) for entry into our programs. Which of the following do you have? (If you don't have any of the following you will not be able to participate in our virtual trainings) *

Desktop Computer Laptop Computer Notebook Computer Tablet
Do you have Wi-Fi Internet that you have daily access to (If no you will not be able to participate in our virtual trainings) ? *

Yes No
Have you taken the CASAS Assessment Exam *

Yes No Not certain what this is
If you've taken the CASAS Assessment Exam approximately how long ago was that?
We conduct CASAS testing on-site at 3016 Martin Luther King Jr. Ave SE Washington, D.C 20032. What time of day is most convenient for you to come in to test? *

Morning Afternoon
Personal Information
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Ward *

1 2 3 4 5 6 7 8
Phone Number *

Area Code Phone Number
Type of Number *

Cell Work Home
E-mail *
Education
Highest Level of Education *

GED HS Diploma Some College College Degree Masters Degree None of the above - If so you are ineligible for training at this time.
Any certification(s) or license(s)?
Best time to contact you *

Morning Afternoon
Best way to contact you *

Phone call Text Email
How did you get to this form *

OIC/DC website Facebook Instagram Twitter Text Message Forwarded from someone
Thank You For Your Time and We Look Forward To Meeting You!
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OIC/DC Program Inquiry

Program Interest

Personal Information

Education