THE C.O.F.F.E.E. PROJECT
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Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Last 4 digits of Social Security Number
4 numbers only
Preferred method of contact
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Email
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Mail
Select your Trade field of interest
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General Carpentry
Landscaping
Solar Installation
Electrical
Plumbing
Welding
HVAC
Date of Birth
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MM/DD/YYYY
Are you 16-24 years of age
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Yes
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GED
High School Diploma
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How did you hear about us?
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Social Media
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Other
How did you hear about us?
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Social Media
Word of Mouth
TV
Radio
Print
Other
Workshop Registration
1 Date available
Register for the upcoming workshop
November 20, 2019 Legends Center 6PM
Submit Application
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