Tradesmen Academy - Enrollment Form - Hamic

Full Name

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Email

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Phone Number

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Address

Address Line 1

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Address Line 2

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City

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State

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Postal Code

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Highest level of education

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Emergency Contact

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Emergency Contact Phone

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Interested in completing GED/High School Equivalency

Referral From Another Program or Organization

Which Tract are you wanting to enroll in?

Professional Skills Background

Types of Workplace Training Skills Requested

Working or learning a trade often requires physical activity such as standing for long periods, lifting, and working in varying temperatures. Are you comfortable with these working conditions and able to meet these physical demands? Please list any limitations or health concerns.

This training program includes receiving feedback and support from a job coach and/or case manager. Are you committed to participating fully in this structured environment and open to receiving guidance and support to help you succeed?

Please list days of the week and times you are available.

Examples:
Monday 8am thru 4pm
Tues – Thurs 9am to 2:30pm

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I hereby certify that all the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information provided may result in disqualification from the program.

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Tradesmen Academy – Enrollment Form

Personal Information

Experience and Interest

Physical and Work Environment Readiness

Commitment to Program Structure

Declaration