WGAE x CWE Intake Form

WGAE x Consortium for Worker Education Event Registration Form
Fill out this form to complete your event registration.

We are able to present this event for free due to a generous grant from the New York State Consortium for Worker Education (CWE).

As part of this grant, the WGAE needs to provide the CWE with information on who attends the events they fund.

CWE receives a significant portion of their funding from the state, which means they need to collect comprehensive data from program participants so they can provide documentation for the use of state funds. In the event that a government agency wants to audit CWE or question the validity of the funding, this data is used to demonstrate program outcomes.

The information in this intake form is reqiured by NY State by way of the CWE, in order for the CWE to continue to receive that funding – and, in turn, for them to continue to provide support for programs like the one you are attending.

COMPLETION OF THIS FORM IS REQUIRED TO ATTEND CWE-SUPPORTED EVENTS

NOTE: If necessary, you can save your progress and return to this form later by selecting the "Save & Continue Later" button at the bottom of the page. A log-in dialog will open — select the "Skip Create an Account" link at the bottom of the log-in dialog to get a link to your draft or to have the link emailed to you.

If you do use the "Save & Continue Later" feature, however, please remember to complete and submit the form prior to the event in order for your registration to be approved & for you to receive the Zoom link.
Internal - Skip Event Name

SkipShowPrefill

Already completed a CWE intake form?
If you've already completed a copy of the WGAE/CWE intake form...

If you have completed this WGAE/Consortium for Worker Education intake form for another event AND you received a Submission ID in the confirmation email for that form, enter the submission ID below.

After providing a valid* submission ID, you can skip most of the CWE intake form questions and will only be required to answer the event-specific questions.

*If we are unable to locate the submission ID you provide, we will contact you to ask you to complete the rest of the intake form.
Previous Submission ID
This can be found in the confirmation email you received for the last CWE intake form you completed.

Registrant Information
We are able to present this event for free due to a generous grant from the New York State Consortium for Worker Education (CWE).

As part of this grant, the WGAE needs to provide the CWE with information on who attends the events they fund.

CWE receives a significant portion of their funding from the state, which means they need to collect comprehensive data from program participants so they can provide documentation for the use of state funds. In the event that a government agency wants to audit CWE or question the validity of the funding, this data is used to demonstrate program outcomes.

The information in this intake form is reqiured by NY State by way of the CWE, in order for the CWE to continue to receive that funding – and, in turn, for them to continue to provide support for programs like the one you are attending.

COMPLETION OF THIS FORM IS REQUIRED TO ATTEND CWE-SUPPORTED EVENTS

NOTE: If necessary, you can save your progress and return to this form later by selecting the "Save & Continue Later" button at the bottom of the page. A log-in dialog will open — select the "Skip Create an Account" link at the bottom of the log-in dialog to get a link to your draft or to have the link emailed to you.

If you do use the "Save & Continue Later" feature, however, please remember to complete and submit the form prior to the event in order for your registration to be approved & for you to receive the Zoom link.
Name*

First NameMiddle Name (optional)Last Name
E-Mail*
example@example.com
Cell Phone Number
Please enter a valid phone number.
Home Phone
Optional
Work Phone
Optional
Date of Birth*

MonthDayYear
Date
Last 4 Digits of SSN
Optional
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like a copy of your responses to this form?*

YesNo
How did you hear about this event?*

WGAE invitation emailShop steward/CaptainAnother member/colleagueOther

	Number of Children
Pre-School
Elementary
Middle/Junior High
High School
College

WGAE x Consortium for Worker Education Event Registration Form

Fill out this form to complete your event registration.

Which event are you submitting this form for?

Registrant Information

We are able to present this event for free due to a generous grant from the New York State Consortium for Worker Education (CWE).

Demographic information

Employment Information

Union Affiliation

Household Information

Educational Background

Optional Questions

School-Aged Children

Other Optional Information

Review Your Responses