First Name *

Last Name *

Address One *

City *

State *

Zip *

Email *

Phone *

Date of Birth *

National Origin * AfricanAmericanAsianCentral and Latin AmericanEuropeanMiddle EasternNorth American (excluding USA)OceaniaTwo or moreOther

Race * AsianBlack/African AmericanHawaiian/Pacific IslanderHispanic/LatinoNative American/American IndianWhiteTwo or more racesOther

Sex * MaleFemaleOther

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

Please select your highest level of education obtained * Some High School Or Less High School Diploma/GED/Equivalent Some College Associate's Degree Bachelor's Degree Advanced Degree (Master's) PhD Other

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

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

Are you available for training from May 11, 2026 – May 15, 2026? * YesNo

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

Are you seeking full-time employment starting May 2026 (upon completion of the Boot Camp)? * YesNo

What is your current U.S. work authorization status? * U.S. citizenU.S. permanent resident (Green Card holder)Work authorized (e.g., Employment Authorization Document)Not currently authorized to work in the U.S.Prefer not to answer

Please rate your ability to work non-traditional hours (shifts may include hours different from 9-5)? * 1 - I require a standard weekday schedule only.2 - I could occasionally adjust my schedule if needed3 - I have flexibility depending on the job requirements.4 - I’m comfortable with non-traditional hours or shifts.5 - I actively prefer non-traditional or flexible hours.

Please provide your motivation in applying for the Manufacturing Skills for Success Boot Camp. *

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