Forklift Driving Certification Registration Form
This course is offered in a partnership with the Port of Morrow and Blue Mountain Community College. Registration questions are required for federal reporting purposes, please answer to the best of your ability
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth 01/01/0000 format
*
Age
*
Sex
*
Male
Female
Prefer not to answer
Gender
*
Woman
Man
Nonbinary or Genderqueer
Prefer not to answer
Ethnicity
*
Hispanic or Latino
Not Hispanic or Latino
Prefer not to answer
Race (check all that apply)
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Prefer not to answer
Highest Level of Education completed
*
Please Select
Elementary
High School
Some College
Associates Degree
Bachelors Degree
Masters Degree
Trade School
Check all the following
*
Incarceration (current or past)
LGBTQ+
Person with a disability
Veteran
None Apply
Employment Status
*
Employed
Never Employed
Not Employed
Student
Household size
*
Household income (annual)
*
Please select your preferred class date. (Only one session is required.)
*
Do you have any questions, special requests, or dietary restrictions?
*
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Forklift Class Fee
$20
$20.00
$
20.00
Quantity
1
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Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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