Insurance Licensing Prep Class

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Applications will be accepted March 1 - March 31, 2023.

Applicants must be available for assessment testing and interviews on April 4th or April 6th and the three day class to be held April 24 - 26, 2023.

Lower Shore Workforce Alliance does not discriminate in the selection of class participants with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status or any other characteristic protected by law.

Date *

YYYY

Name *

Address *

Email Address *

Home Phone Number

Cell Phone Number

Are you eligible to work in the U.S.? *

Yes

Are you at least 18 years or older? *

Yes

How did you hear about this class? *

Referral

Social Media

Other:

I attest that the information I have provided to Lower Shore Workforce Alliance is true and complete and no requested information has been concealed. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of participation in the program. *

Yes

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