Career Training Application

Interested in a training opportunity with your English (ESL) class? Fill out an application and bring it to your teacher to request an appointment with Danny Verbrugge
In addition to taking adult education classes (ESL - English Classes), are you interested in taking career training classes?

Yes No
You will be required to attend both your adult education class and the career technical class. Are you able to attend both?

Yes No
What Program are you interested in? (Circle one or more)

Community Interpreting - Working in healthcare and educational settings to interpret English to another working language to help people have access to these services. Other - (Please Specify)
Do you have transportation or access to The Rapid bus system?

Yes No
Please answer the following questions so that we know how to best serve you:
You must be enrolled in our ESL, English class to participate in training. Are you enrolled?

Yes No
Are you 18 years or older?

Yes No
Are you authorized to work in the United States?

Yes No
Are you a US citizen?

Yes No
If you are a US citizen, are you registered to vote?

Yes No
Student Name
Student Phone
Student Email
example@example.com
Teacher's Name
Contact Preference (Choose one or more)

Call Text Email
Should be Empty:

Interested in a training opportunity with your English (ESL) class? Fill out an application and bring it to your teacher to request an appointment with Danny Verbrugge