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CiTi Adult Offerings Inquiry
Please fill out the submission below and we will contact you as soon as we can to give you more information!
Disclaimer: filling out this form is a request for information, not an application or acceptance into a program.
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Full Name
*
Your answer
Email
Your answer
Phone Number
*
Your answer
Address
Your answer
City, State & Zipcode
Your answer
I am interested in the follow adult offerings:
*
Dental Assisting
Home Health Aide
Phlebotomy
Practical Nursing
Entry Level Driver Training CDL-A (Tractor Trailer)
Entry Level Driver Training CDL-B (Dump Truck)
Entry Level Driver Training CDL-B (Passenger and School Bus Endorsement)
Heavy Equipment Maintenance and Operation
Diesel Mechanic
Welding
Other:
Required
Preferred Method for Us To Reach You
Phone Call
Text Message
Email
Other:
Best time to reach you
Morning
Afternoon
Evening
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How did you hear about us?
*
Flier/Poster
Catalog
Facebook
Twitter
Instagram
Google or Internet Search
Word of Mouth
Outside Agency Referral (ex. Workforce NY)
Yard Signs
Billboard
Other:
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