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?)
10:00 am - 2:00 pm (6 week training program)6:30 pm - 10:30 pm (6 week training program)Anytime, my schedule is flexibleOther
NoYes, Floor SupervisorYes, Dual RateYes, Dealer
DaySwingGrave
RouletteCrapsMidi-Baccarat & Pai GowNoveltyBlackjackPoker (currently not scheduling)
Please enter any class time requests, be specific (if any)
YesNo
What department do you work in at HCCTR?*
Friend / FamilySocial MediaIndeed.comHollywood CasinoOther
We will be in touch with you as classes are forming.
Please make sure to click the SUBMIT button below.
Should be Empty: