JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RAMP2023 Enrollment & Scholarship Application
Rapid Alternative MedTech Pathway presented by the California Biomanufacturing Center.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
How did you learn about the RAMP Training Program
Billboard Ad
Print mailer / Print Ad
School Counselor / Teacher
Website
Referral
Clear selection
First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Email
Your answer
Date of Birth
MM
/
DD
/
YYYY
Have you graduated from HS or obtained a GED?
Yes
No
Clear selection
Are you currently attending school?
No
Yes, Full Time Student
Yes, Part Time Student
Clear selection
Please list the last school you attended (or are currently attending).
Your answer
Are you currently employed?
Yes, Part-time
Yes, Full-time
No
Clear selection
Please list your current or last employer.
Your answer
What is your gender?
Male
Female
Other / Prefer not to say.
What is your ethnicity (Choose all that apply)
A. Caucasian
B. African-American
C. Latino or Hispanic
D. Asian
E. Native American
F. Native Hawaiian or Pacific Islander
G. Other/Unknown
H. Prefer not to say
Which languages are you capable of speaking fluently? (Check all that apply)"
A. English
B. Spanish
C. Mandarin
D. Arabic
E. Vietnamese
F. Hmong
G. Russian
Other:
RAMP Training Pathway Overview and Sample Job Titles:
Which of the above RAMP Training Pathways are you interested in enrolling in?
Lab Assistant Pathway
Process Technician Pathway
Quality Control Analyst Pathway
Clear selection
Do you have a valid CA Drivers License?
Yes
No
Clear selection
Are you prepared to begin the training program in the next 4-6 weeks?
Yes
No
Clear selection
Do you have regular access to internet/WiFi and computer technology?
Yes
No
Clear selection
Can you attend weekly online trainings and career coaching sessions?
Yes
No
Maybe
Clear selection
The program has a maximum cost of $1500. Are you requesting a scholarship to cover the cost of the training?
Yes
No
Clear selection
Please describe in one paragraph your interest in the RAMP Training program and why you believe you would be a successful candidate for completing the training?
Your answer
Do you certify that these responses are accurate and truthful?
Yes
No
Clear selection
Do you have any other questions?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of California Biomanufacturing Center.
Report Abuse
Forms
