Next Step Program Interest Form

Next Step Program Interest Form

Thank you for your interest in the Next Step Program. This program is designed to help individuals explore career paths, gain real-world knowledge, and connect with opportunities in trade, college pathways, entrepreneurship, and more. Please complete the form below so we can better understand your interest and connect you with the right resources.
Applicant Information
Full Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Eligibility and Background
Age Group
Current Status
Career Interests and Goals
Career Interests
What are you most interested in?
Have you thought about your future career?
What are your goals and dreams for your future?
Support and Workshop Preferences
What support do you need?
Would you like to participate in workshops?
Preferred days for workshops
Parent or Guardian Contact Information (if under 18)
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Referral Source and Consent
How did you hear about us?

Other
Consent
Should be Empty: