Skills 2 Build Program Registration Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Do you have a GED/ high school diploma?
Yes
No
Do you have a drivers license?
Yes
No
If not, do you have reliable transportation?
Yes
No
Do you have Manufacturing experience? Note: Experience is not required.
Yes
No
Are you currently employed and looking to gain extra knowledge?
Yes
No
Thank you for completing this form. A career coach will reach out to you for next steps.
Submit
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