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Broome County Urban League Trades Webinar Registration
I understand that my personal information will not be released to the public. All information will only be used for the program evaluation analysis. Only questions with asterisks(*) are required. Please "SUBMIT" when you have completed the form. You will receive instructions to join the webinar through the email you provide below.
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Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth (mm/dd/yy)
*
Your answer
Phone Number
*
Your answer
Interested Trade
*
Plumbing
Electrical
Carpentry
Laborer
Roofing
Sheet Metal
Other:
Required
Do you have a Drivers License
*
No
Yes
Do you have a Vehicle/ Reliable Transportation
*
Yes
No
Do you have a:
High School Diploma or GED
Associates Degree or Higher
Trade School Certification
None of the above
OSHA 10 Card
Are you currently enrolled in an educational program? (ex: University, College, Trade School, Apprenticeship, Internship)
Yes
No
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If answered YES to previous question, please provide where...
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