Allied Health Care Training
     This is the eligibility survey for the Allied Healthcare Training Program that will be offered through LaGuardia Community College, Access Institute and other Community partners. All individuals must complete this survey, attend an info session, and complete a reading and math comprehension test. If you  have any questions, please contact Ahuva Yelizarov at ayelizarov@commonpointqueens.org.
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Email *
Allied Health Flyer
Please enter a phone number to reach you at: *
What is your home address *
What is your name? (First and last name)
What gender pronouns do you prefer?
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Date of birth *
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How did you hear about this program? (Please be specific) *
Which training are you interested in? *
Why are you interested in this training? *
Are you currently working? *
Are you looking for Employment? *
How many hours a week do you currently work? *
Are you currently enrolled in college or training school? *
What is your highest level of Education? *
Do you have access to a computer/laptop/tablet with internet access? *
Do you currently receive SNAP benefits? *
Do you currently receive Cash Assistance?
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Do you have experience working in a Medical Field? *
Please explain your experience in the medical Field? *
How would you consider your digital literacy skills? *
Required
If you don't qualify for the training, are you interested in job placement assistance?
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