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Workforce Training Enrollment Form
Please complete the form one month prior to the start of the next quarter. The courses on the form should match what is listed on your Program Schedule. If you request anything different, it will be DENIED. Please contact your Case Manager/Carer Advisor to make any changes to your program schedule BEFORE filling out the form.
Due Dates:
Fall Quarter: August 1st
Winter Quarter: December 1st
Spring Quarter: March 1st
Summer Quarter: May 15th
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Student ID Number
*
Your answer
Agency
*
Choose
NOVA
EDD
East Bay Works (Rubicon, Tri-Valley, Tri-Cities, Ohlone, etc)
SCWIOA
San Benito
Napa
San Bernadino
Santa Barbara
Term/Quarter
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Choose
Winter
Spring
Summer
Fall
Class #1: Course Title, Section Number
*
EXAMPLE: Python Programming for Beginners CMPR.X415(808)
Your answer
Which format is the above course?
*
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings In Person (Santa Clara Location)
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings Live-Online (Zoom)
Flexible (Santa Clara/Remote) - I plan to attend a combination of In-Person and Live-Online meetings
Live-Online (Zoom, Synchronous)
Online (Self-Paced or Traditional)
Class #2: Course Title, Section Number (if applicable)
*
Example: Python Programming for Beginners CMPR.X415(21) Live-Online
Your answer
Which Format is the above course?
*
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings In Person (Santa Clara Location)
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings Live-Online (Zoom)
Flexible (Santa Clara/Remote) - I plan to attend a combination of In-Person and Live-Online meetings
Live-Online (Zoom, Synchronous)
Online
N/A
Class #3: Course Title, Section Number (if applicable, otherwise enter n/a)
Example Entry: Python Programming for Beginners CMPR.X415(34) Live-Online
Your answer
Which Format is the above course?
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings In Person (Santa Clara Location)
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings Live-Online (Zoom)
Flexible (Santa Clara/Remote) - I plan to attend a combination of In-Person and Live-Online meetings
Live-Online (Zoom, Synchronous)
Online
N/A
Clear selection
Class #4: Course Title, Section Number (if applicable)
Example Entry: Python Programming for Beginners CMPR.X415(831) Online, self-paced
Your answer
Which Format is the above course?
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings In Person (Santa Clara Location)
Flexible (Santa Clara/Remote) - I plan to attend majority of meetings Live-Online (Zoom)
Flexible (Santa Clara/Remote) - I plan to attend a combination of In-Person and Live-Online meetings
Live-Online (Zoom, Synchronous)
Online
N/A
Clear selection
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