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Common Grounds Training Program Interest Form

1.Name(Required.)
2.Email(Required.)
3.Cell Phone Number(Required.)
4.Secondary Phone Number
5.What is the best way to contact you?(Required.)
6.Date of Birth
Enter Date
7.Are you able to speak English?(Required.)
8.Are you eligible to work in the United States?(Required.)
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.)
10.Please tell us what brings you to this program and your goals for employment.(Required.)
11.How did you hear about the Common Grounds Training Program?(Required.)