JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SkillSource ACE Registration Form
Please fill out the following form to register for the ACE workshop.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Mailing Address (if needed for handouts)
*
Your answer
Do you have a computer or smart phone?
*
Yes
No
Do you have internet service or unlimited data?
*
Yes
No
Have you ever used Zoom?
*
Yes
No
Do you have a printer to print handouts needed during the workshop?
*
Yes
No
Would you like to schedule time to meet with staff (virtual or via telephone) to help you with setting up Zoom?
*
Yes
No
If you do not have the resources (computer, internet, smartphone/data) to view a virtual ACE, would you like to schedule a telephone call with a trainer?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SkillSource.
Report Abuse
Forms
