Question Title

* 1. Contact Information

Question Title

* 2. What is your gender?

Question Title

* 3. When were you born?

Birthday

Question Title

* 4. Are you currently enrolled at BPCC?

Question Title

* 7. Indicate your military status.

Question Title

* 8. Indicate all benefits of the program where you would like assistance.

  Yes No
Interviewing
Establishing effective study habits and learning techniques
Managing your schedule
Meeting employers
Obtaining an internship
Obtaining a job
Writing a IT resume

Question Title

* 9. What is your current employment status?

Question Title

* 10. If you are currently employed, enter the company's name.  If you are not employed, enter "N/A".

Question Title

* 11. Have you ever been arrested?

Question Title

* 12. Have you ever been convicted of any felonies?

Question Title

* 13. The following boxes must be checked in order to join BPCC's CSRA/LED program.

T