Workforce Credential Grant Fast Forward Agreement

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AGREEMENT FOR OPEN ENROLLMENT PARTICIPATION IN THE FAST FORWARD GRANT

Full Name *

Phone Number *

Email Address *

I am enrolling in *

Backflow Prevention

Certified Logistics Associate

Certified Logistics Technician

CompTIA A+

CompTIA Network+

CompTIA Security+

Crane Operator

Customer Service & Sales

EKG Stand Alone

Fast Track Healthcare (CMA Bundle)

Fast Track Welding-Day

Fast Track Welding-Evening

Heavy Civil Construction with Flagger/Core

Heavy Equipment Operator Only

Heavy Equipment Operator with CORE

Marine Trade Welding Level 1-Day

Marine Trade Welding Level 1-Evening

Marine Welding Level 2 – Day

Marine Welding Level 2 – Evening

Marine Welding Level 3 – Day

Marine Welding Level 3 – Evening

Medication Aide

NCCER Core

NCCER E&I Level 2

NCCER E&I Level 3

NCCER E&I Level 4

Outside Machinist

Patient Care Tech

Phlebotomy Stand Alone

Truck Driver CLASS A CDL-Weekday

Truck Driver CLASS A CDL-WeekEND

Truck Driver CLASS B CDL-Weekday

Truck Driver CLASS B CDL-WeekEND

FOR STUDENTS WHOSE COMPANY IS PAYING FOR THEIR COURSE

I understand in the case where the College has an agreement with my employer covering my specific participation in this New Economy FastForward Grant course, I will not be responsible for the additional 1/3 of the total course cost should I not successfully complete the course by earning an “S” grade within thirty (30) days of the course end date. I acknowledge and understand that I may owe my employer the additional 1/3 of the total course cost under a separate agreement or other arrangement, if I do not successfully complete the course.

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