Manhood University – Class of 2021 Question Title * 1. Email Address OK Question Title * 2. First Name OK Question Title * 3. Last Name OK Question Title * 4. Main Phone Number OK Question Title * 5. Alternate Phone number OK Question Title * 6. Address: (street number/name/ Apt#, city, state and zip code) OK Question Title * 7. Date of Birth OK Question Title * 8. Are you currently employed? Yes No OK Question Title * 9. Have you ever been convicted of a misdemeanor or felony? Yes No OK Question Title * 10. Are you currently on Probation or Parole? Yes No OK Question Title * 11. Please select your highest level of education completed: 11th grade or less High School Diploma, GED or HiSet 1 year of college Associates Degree Bachelor's Degree OK Question Title * 12. Are you interested in further education? Yes No OK Question Title * 13. Select all that apply: Recipient of SNAP (Supplemental Nutrition Assistance Program) or living in a home with a recipient of SNAP Recipient of TANF (Temporary Assistance for Needy Families) or living in a home with a recipient of TANF Recipient of SSI/SSDI (Supplemental Nutrition Assistance Pro) or living in a home with a recipient of SSI/SSDI Individual with a Disability A homeless Individual A Veteran or spouse of a veteran Parenting or expecting a child Need Transportation Assistance None of the above OK Question Title * 14. Do you plan to attend in the morning or afternoon? Morning Afternoon OK Question Title * 15. What is your t-shirt size? S M L XL XXL OK DONE
