Workforce Connections Student Interest Survey

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* 1. Please provide your contact information:

Name

City/Town

Email Address

Phone Number

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* 2. What college/university are you currently attending?

TCC

FSU

FAMU

Other (please specify)

Not attend a post secondary school

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* 3. What days are you available to take classes? Check all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 4. What times are you available to take classes? Check all that apply.

Morning (8-12)

Afternoon (1-5)

Evening (6-10)

8 - 5

Anytime

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* 5. Are you currently employed?

Yes, Full-Time

Yes, Part-Time

Name of Employer:

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* 6. Will you be seeking a scholarship to cover 50-100% of your tuition costs?

Yes

If yes, will you be able to attend the class without a scholarship (cost is $1400-$1800).

Workforce Connections Student Interest Survey

Question Title

* 1. Please provide your contact information:

Question Title

* 2. What college/university are you currently attending?

Question Title

* 3. What days are you available to take classes? Check all that apply.

Question Title

* 4. What times are you available to take classes? Check all that apply.

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* 5. Are you currently employed?

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* 6. Will you be seeking a scholarship to cover 50-100% of your tuition costs?

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* 7. In 200-400 words, tell us why you will need the scholarship in order to participate in the training?