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1. Name (Required.)

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2. Email (Required.)

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3. Cell Phone Number (Required.)

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4. Secondary Phone Number

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5. What is the best way to contact you? (Required.)

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6. Date of Birth

Date

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7. Are you able to speak English? (Required.)

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8. Are you eligible to work in the United States? (Required.)

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9. The Common Grounds Training Program is a nine-week program that operates Monday through Thursday from 8:30 AM to 4:00 PM. Please initial to indicate your awareness of this commitment and ability to participate in all parts of the program if selected. (Required.)

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10. Please tell us what brings you to this program and your goals for employment. (Required.)

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11. How did you hear about the Common Grounds Training Program? (Required.)

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