Gaming Careers Institute Interest Form

Blue Ridge CTC Gaming Careers Institute

Thank you for your interest in the Blue Ridge Community and Technical College's Gaming Careers Institute (GCI)! While completing the form, please contact Ken with any questions or for assistance: ksuits@blueridgectc.edu -or- 304-707-6036
Name

First NameLast Name
Email
example@example.com
Cell Number
Format: (000) 000-0000.
Date of Birth (must be 21 or older to participate in gaming training)

MonthDayYear
Date
State of Residency? (WV, MD, VA, PA, etc?)
If a WV resident, what county? (Jefferson, Berkeley, Morgan, etc?)
What course / anytime works best for your schedule? (Select as many as apply)

Other
Are you currently in table games at HCCTR?
What shift are you currently on?
What class(es) are you interested in taking? (Select as many as you'd like)
Please enter any class time requests, be specific (if any)
Are you currently an employee at Hollywood Casino Charles Town?
What department do you work in at HCCTR?
How did you hear about us?

Other
We will be in touch with you as classes are forming.
Please make sure to click the SUBMIT button below.
Should be Empty: