La Colaborativa HVAC&R Application Cohort 2

La Colaborativa HVAC+R Program

Participant Application Form
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Highest level of Education Completed*

Less than High SchoolHigh School Diploma/ GEDAssociate's DegreeBachelor's DegreeOther
Are you authorized to work in the US?

YesNo

How did you hear about this program?

Social MediaFamily member/FriendReferred by a different organizationProgram FlyerOther
Why are you interested in this program?
What prior experience (if any) do you have with HVAC systems or other technical work?
What are your career goals, and how would this program help you achieve them?
This program requires 800 hours of class to become properly certified. Classes are 4-10PM, from Monday to Thursday in Roxbury (Boston, MA). Are you able to commit to this schedule?
Why do you believe you are a good candidate for this program?
Please list two professional and/or academic reference who can speak to your skills, character, or work ethic.

(This should not be a family member or close friend)
Reference 1
Name*

First NameLast Name
Relationship to you*
Organization/School*
Position/Title*
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Reference 2
Name: *

First NameLast Name
Relationship to you*
Organization/School*
Position/Title*
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Please submit a resume and/or cover letter to accompany your application*

Cancelof
Thank you for submitting an application to La Colaborativa's HVAC program. Applicants that meet program eligibility criteria will be contacted for an in person or remote interview in the order in which they applied.
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La Colaborativa HVAC+R Program