Student Interest Form
Student Name
*
First Name
Last Name
Student E-mail
*
example@example.com
Mobile Number
*
What is your age?
*
What City and County do you live in?
*
If you are a minor, under age 18 years, please provide contact information for your parent or guardian
If 18 years or older, skip to next question. If you are 17 years or younger, include the name, phone number and email of your parent or guardian.
How did you hear about the NextGen Trades Academy?
*
If from your school, please share your school name
Please select 3 trades that you're interested in
*
Agriculture
Architecture
Carpentry
Electrical
Flooring
Green Building/Technology
Gutters
HVAC
Interior Design
Landscape Design
Landscaping
Painting
Permaculture
Plumbing
Restoration
Roofing
Safety and OSHA
Solar
Real Estate
Finance
Other
Why do you want to join the NextGen Trades Academy? (check all that apply)
*
Learn About Construction
Get Safety Certifications
Create and Build Things
Get Some Work Experience
Get a Full-Time Job
Plan a Construction Career
Other
Do you have any activities that can interfere with attendance in the program? The Live Virtual Training is 3 days per week, 2 1/2 hours per class, for 3 weeks on Tuesdays and Thursdays from 5:00pm - 7:30pm, Saturdays from 9:00am - 11:30am
*
Please Select
Yes
No
I'm unsure
If you answered yes to the question above, please share more in this box. Examples may include work, sports, band, dance, school clubs, babysitting, etc.
Can you commit to 25 hours of live training? The Live Virtual Training is 3 days per week, 2 1/2 hours per class, for 3 weeks on Tuesdays and Thursdays from 5:00pm - 7:30pm, Saturdays from 9:00am - 11:30am
*
Please Select
Yes
No
I'm unsure
Can you commit to 10 hours of self-guided safety training and testing?
*
Please Select
Yes
No
I'm unsure
Do you have a camera-enabled computer or tablet with reliable internet?
*
Please Select
Yes
No
I'm unsure
NOTE: The NextGen Trades Academy has lender Chromebooks available for free to students
How soon are you looking for full-time work after graduating from the program?
*
Please Select
30 days or less
30-90 days
90 days or longer
I'm unsure
Full-Time work would average 40 hours per week
When is the best time to contact you?
*
What is the best method to contact you? Check all that apply
*
Please Select
Text
Call
Email
What is the name and relationship of your emergency contact
Relationship may be parent, sibling, friend, etc.
Emergency Contact Phone Number & Email
Additional Comments
Submit
Should be Empty: