Production Technology

Production Technology
Name*

First NameMiddle NameLast Name
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 Diploma/GED/ or HiSetHS Diploma, GED, or HiSetSome college/no credentialAssociate's degreeBachelor's degreeMaster's degree of higher
Are you currently employed?*

YesNo
If Yes, who is your employer?*
If so, are you currently employed part-time?*

YesNo
How did you hear about this course?*

NewspaperEmail NewsletterFacebookWord of MouthOther
Do you agree to receive SMS text messages regarding the course?

YesNo
Please select the courses for which you are pre-registering. Classes are rolling admission so you can come in anytime!

Green Manufacturing (starts online in May 2023)Safety (starts online in September 2023)Manufacturing Processes and Production (starts online in September 2023)Quality Practices and Measurement (starts online in November 2023)Maintenance Awareness (starts online in November 2023)
I certify that all information on this application is accurate and complete.
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