Student Interest Form
Thank you for your interest in the MSA, a hands-on training program designed to prepare young adults (ages 18–24) for high-demand careers in modern manufacturing. Through a combination of technical instruction, life skills development, and career readiness support, MSA equips students with the tools they need to succeed in today’s workforce. Completing this form is the first step in the enrollment process—once submitted, a member of our team will follow up to guide you through the next steps, which may include an information session, eligibility screening, and program orientation.
Email
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Section 1: Personal Information
What is your Full Name:
What is your phone number?
What is your age?
Address (Street Name, City, State)
Zip Code
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Education
Highest Level of Education Completed?
No High School
Some High School
GED
High School Diploma
Some College
Associate Degree
Currently enrolled in School or Training?
Yes
No
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Program Goals & Interests
Why are you interested in the Manufacturing Skills Academy?
What interests you about manufacturing? (check all that apply)
Hands-on work
Learning new skills
Good pay and benefits
Job stability
Career advancement
Building things
Working with technology
Not sure yet - just exploring
Which area sounds interesting to you? (Pick any that sound interesting - no experience needed)
Welding
Robotics
CNC Machine
Quality Control
Safety & Maintenance
Team Leadership
What are you hoping to get out of this program?
A career in manufacturing
Learn new skills
Earn certifications
Build confidence
Explore career options
How committed are you to learning this trade and pursuing your education in manufacturing?
Not interested
1
2
3
4
5
6
7
8
9
Fully dedicated to this being my career
10
1 is Not interested, 10 is Fully dedicated to this being my career
Which additional skill areas are you interested in learning?
Life Skills (Financial Literacy, Time Management)
Interpersonal Skills (Communication, Conflict Resolution)
Job Readiness (Resume, Interview Prep)
Leadership/Teamwork
Digital Literacy
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Support Services
What support services would help you succeed in this program?
Transportation Assistance
Childcare
GED Prep
Housing
Food Assistance
Resume/Job Search
Mental Health Support
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