CREED - RVA Interest Form

CREED - RVA 2 Interest Form

This training is only free to Richmond City residents. Richmond residents must be at least 18 years of age to attend. Thank you!
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Birth

MonthDayYear
Have you been convicted of a felony?
Have you previously been justice impacted or incarcerated within the last 180 days ?
Level of Education
What is your current housing situation?
Do you commit to completing the two-week training for NABCEP, OSHA 10, and NFPA 70E certifications?
Are you a City of Richmond, Virginia resident?
Gender
Are you a US citizen?
Have you ever served in the US military on active duty for more than 180 days?
What form of identification do you have?

Other
Are you currently employed?
Are you currently registered with any workforce agency in the State of Virginia ?
By signing, I attest that all information I have provided is true and complete to the best of my knowledge, and I agree to attend the in person CREED RVA project training starting July 9, 2026 - July 17, 2026 from 8:00 am to 5:00 pm. I will be respectful to the class and instructor at all times.
Signature
Should be Empty:

CREED - RVA 2 Interest Form