2. What is your current employment status?*

3. What is your highest level of education completed?*

4. Are you interested in any of the following? (Check all that apply) *

5. What types of training are you most interested in? (Check all that apply)*

6. What days/times work best for you? (Check all that apply)*

7. Where would you prefer to attend classes? (Check all that apply)*

8. Do you have reliable transportation?*

9. What challenges might prevent you from attending classes? (Check all that apply) *

10. What support would help you participate?

11. Would you like to be notified about upcoming classes and training opportunities?*

Preferred method of contact: