Manufacturing Matters Application

Contact Information

Congratulations, you have taken the first step to apply for admission to the Manufacturing Matters Production Associate program. This is a 5 week program (Monday – Friday) with mandatory attendance of four hours per day and random drug testing. Manufacturing partners in our area support the program and NEED YOU. They are seeking solid candidates who have taken the initiative to seek out training programs that provide training and orientation to careers in manufacturing.

Please complete the following application. A Manufacturing Matters representative will contact you within the next two business days to discuss more details about the program and your next steps.

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* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

County *

Email Address *

Phone Number *

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* 2. Additional phone number where you can be reached:

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* 3. Last four digits of your social security number:

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* 4. Please enter your date of birth:

Date of Birth

Date