SSTI Program Registration
In partnership with
Information
Please provide your information. This information will be shared with MassHire in an effort to enroll you into the program.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date
Training Program Information
Please tell us which program you are interested in taking.
Program
Carpentry
Culinary
HVAC
Manufacturing Engineering
Referral Information
Referred by High School
*
Yes
No
Referring High School
Please tell us the name of the High School that referred you
Referring School Administrator
Please tell us the name of the person at the school who referred you.
How did you hear?
Let us know how you heard of this program.
Driver's License Information
In order to take the Automotive course you must have a valid driver's license. Please fill out the information below.
Valid Drivers License
Yes
No
Driver's License Expiration Date
-
Month
-
Day
Year
Please provide the date your driver's license will expire.
Submit Form
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