The Center on Rural Innovation is excited to launch our “Enhancing Rural Workforce Capacity Through Tech-Driven Development” initiative - a 9-month PAID tech training program designed to address technology talent gaps in the rural communities of Chambers County, AL, Portsmouth, OH, & Springfield, VT. Applications for this Cohort are due by Monday, August 10th.

Please contact Program Manager, Cameryn Mitchell (Cameryn.mitchell@ruralinnovation.us) if you have questions.

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1. First Name (Required.)

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2. Last Name (Required.)

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3. Which community do you live in? (Required.)

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4. Current Mailing Address (Required.)

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5. Email Address (Required.)

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6. Phone Number (Required.)

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7. Date of Birth (Required.)

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8. What is your gender? (Required.)

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9. What pronouns do you use? (Required.)

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10. What is your ethnicity and/or race? (Please select all that apply.) (Required.)

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11. Are you a veteran of the United States Armed Forces? (Required.)

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12. What is the highest level of education you have completed? (Required.)

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13. What is your current employment status? (Required.)

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14. What is your approximate monthly income? (Required.)

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15. Do you have regular access to a computer? (Required.)

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16. Do you currently have internet access? (Required.)

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17. Which certification path are you interested in pursuing? (Required.)

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