Application Questions - Paths for Texas

Learner Information

Please take a moment to tell us about your experience.

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* 1. Please choose a course of interest

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* 2. First Name

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* 3. Last Name

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* 4. Full Physical address?

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* 5. Date of Birth

MM / DD / YYYY

Date

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* 6. Email

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* 7. Phone number

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* 8. May we send texts to this number

Yes

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* 9. Gender

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* 10. Education

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* 11. Ethnicity

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* 12. Are you a US citizen

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* 13. Do you identify as a U.S. Veteran

Yes

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* 14. Credential / Certifications Acquired

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* 15. Do you have internet access at home?

Workforce Solutions is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. Relay Texas: 1-800-735-2989 (TDD) and 1-800-735-2988 (Voice) or 711

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50% of survey complete.