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Heavy Equipment Operators Training Registration
1.
Name
2.
Company
*
3.
In which district (Public Works Department) is your business/company located?
(Required.)
District 1
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 9
4.
Work Number (enter digits only)
5.
Cellular Number (enter digits only)
6.
E-Mail Address
7.
Length of time working in the field?
*
8.
Sex (Gender)
(Required.)
Female
Male
9.
Age
Under 20 years
20-30 years
31-40 years
41-50 years
Over 50 years
*
10.
What type of equipment do you operate?
(Required.)
Excavator
Backhoe
Bulldozers
Crane
Rollers
Bob Cat
JCB Lift Loader
Other (please specify)
11.
Have you ever attended a Heavy Equipment Operators' Training within the last 10 years?
Yes
No
Not sure
Current Progress,
0 of 11 answered