YMCA Project Connect Wait List

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Thanks for your interest in the YMCA Project Connect program. We would love to collect your information now so we can connect with you when intake/enrollment begins for future programs.

Please fill out the form below to join the wait list for our various adult education programs. Our Project Connect team will notify you as enrollment begins for the program you are interested in.

For more information on the Y's Project Connect programs, please visit our website at https://indymca.org/programs-and-activities/programs/adult-education-and-training-programs/.

Name *

Email Address *

Phone Number *

Zip Code *

Birthdate *

YYYY

Which education and training path are you interested in applying for? *

High School Equivalency (HSE) Prep Program

Employability Skills Training Program

Certified Nursing Aide (CNA) Certification Training Program

Qualified Medication Aide (QMA) Training Program

Required

Educational Status *

No Schooling

Grades 1-5

Grades 6-8

Grades 9-12 (no diploma)

High School Diploma/Alternate Credential

HSE

Some college, no degree

College or professional degree

Number of Persons in Household *

Total Annual Household Income (info necessary for determining program eligibility) *

$0-$10,000

$10,000-$20,000

$20,000-$30,000

$30,000-$40,000

$40,000-$50,000

$50,000-$60,000

$60,000-$70,000

$70,000-$80,000

$80,000-$90,000

$90,000+

Please tell us why you want to participate in the Y's Project Connect program. These questions can help guide your answers. 1. Why do you want to participate in this program? 2. What skills do you hope to gain from this program? 3. What else would you like us to know? *

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