First Name *

Last Name *

Email *

Phone *

Date of Birth *

Please select the best description of your current employment status * Employed full-timeEmployed part-timeUnemployed and seeking employment

Are you interested in the AM or PM training class? * 9:00 AM - 1:00 PM4:00 PM - 8:00 PMEither

Are you eligible to work in the US and able to provide appropriate documentation? * YesNo

Are you a former or current member of the military? * YesNo

Please select your highest level of education obtained * Some High School GED Some College Associates Degree Bachelors Degree Masters Degree Other

Do you currently have reliable transportation to get you to and from training/work? * YesNo

Are you able to work non-traditional hours (shifts may include hours different from 9-5)? * YesNo

Are you available for training from January 6, 2025 – January 31, 2025? * YesNo

Are you able to attend in-person classes at Frederick Community College? * YesNo

Are you available for full-time work starting January 2025? * YesNo

Do you have any prior lab/manufacturing experience (not required)? * YesNo

Are you currently enrolled in an educational or training program? * YesNo

If so, which one? *

Comments