The LOHM Grow with Google Applied Digital Skills Training Program
Contact Information and Learning Path Assessment Form
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First and Last Name *
Preferred Name
What organization referred to the Grow with Google Program? *
What is your city and state?
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What is your zip code? *
Gender Identity
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Race *
Please select your age range
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Email Address
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Phone Number
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If you do not have an email address, would you like to be contacted by a team member of The LOHM for assistance?
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Please share your preferred method of contact
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Do you give us permission to send you text messages?
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What equipment will you use to take the Grow with Google Digital Applied Skills Program?
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Type of Learner
We understand how important it is to have options when it comes to learning; therefore, we are pleased to announce that we offer two types of learning options as follows: 

Self-guided Learning
This option will allow you to access your classes on your own time and learn at your own pace to fit your personal schedule.

Trainer-led Learning
This option will allow you to enter into a virtual classroom at a scheduled time twice a week, and learn with the assistance of a trainer.  The trainer will guide you through your classes and support you throughout the entire length of the program.  You will be among other peers in a comfortable and safe environment. 

Please let us know if you are interested in the Self- guided or Trainer-led learning option.
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Required
Needs Assessment
We want to ensure you get all you can out of the Grow with Google Program. Please answer the following questions to better assess your needs.
How much experience do you have using a computer to complete different tasks and/or communicate?
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How comfortable do you feel using digital tools (documents, spreadsheets, slide presentations) on a computer?
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How comfortable do you feel using a computer to communicate with others (email, virtual meeting software)?
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Please provide us with the name of the individual or organization who referred you to The LOHM. If you were not referred, please type No one.
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Additional comments - If there is anything else you want to share with us, please use the space below to tell us more. 
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