CT Program Registration and Verification

Cannabis Workforce Training and Business Boot Camp Programs

Please fill out the DIA verification form to see if you qualify
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select the Program(s) of Interest*

CT Entry-Level Retail Workforce TrainingCT Management TrainingPre-Accelerator Bootcamp / Lottery PreparationBusiness Accelerator (including CT Management Training)Email me a link to set an appointment with a Guidance Counselor
Photo ID

Current Photo ID
Cancelof
Additional Document (if applicable)

Proof of address (if the photo ID is not current)
Cancelof
By clicking below and submitting this form, you authorize the CT Social Equity Council or Oaksterdam University Staff to contact you for address verification and enrollment purposes. We will not share or sell your information.*

Yes, you can contact me with the information I provided.

Cannabis Workforce Training and Business Boot Camp Programs