WCCC Pathways in Education

Early Childhood & Education Pathways - Trauma Informed Education

Division of Workforce & Professional Development Learner Application
Name*

First NameMiddle NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County of Residence
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
E-mail*
Are you a resident of Maine?*

YesNo
Are you a US citizen?*

YesNo
Ethnic Group*

Not Hispanic/LatinoHispanic/Latino
Race*

American Indian or Alaska NativeAsianBlack or African AmericanWhiteNative Hawaiian or Other Pacific Islander
Gender*

MaleFemaleOther
Education (highest grade completed)*

Less than HS DiplomaHS Diploma, GED, or HiSetSome college/no credentialCredential < 2 year or Associate degreeAssociate's degreeBachelor's degreeMaster's degree of higher
Are you currently employed?*

YesNo
If so, are you currently employed part-time?*

YesNo
Who is your employer?*
For which courses are you registering?

EDU 170 - Intro to Trauma Informed Schools and CommunitiesEDU 271- Best Practices for Trauma-Responsive Educational Environments (EDU 170 is a prerequisite)EDU 272- Diversity and Social Justice: No Equity Detours Allowed (EDU 170 is a prerequisite)All three
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Early Childhood & Education Pathways - Trauma Informed Education