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TechWORKS Programs

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Applications are accepted on an ongoing basis. New classes begin quarterly. All fields are required to be filled in completely. Thank you.

Date: Saturday, May 19, 2012
Name:
Home Phone:
Cell Phone:
Email:
City:
Veteran? Yes No
Recently separated veteran? Yes No
Separation date?
Transitioning Veteran? Yes No
Spouse of a Veteran? Yes No
Living with a disability? Yes No
Department of Rehabilitation Client? Yes No
On SSDI or SSI? Yes No
Employed Yes No
Unemployed 26 Weeks or Less
27 Weeks of More
Are you interested in working in one of these techNology occupations? CompTIA A+ IT Technician
CompTIA N+ Network Technician
CompTIA Security+ Technician
ComTIA Server+ Technician
Microsoft Certified TechNology Specialist(MCTS)
SQL Database Management
Microsoft Certified IT Professional(MCITP) Server 2008 Admin
Windows 7 Certification
Microsoft Office Certification
Project Management
Healthcare IT
Other
If you checked Other training above, describe the training you wish to take:
Available for classroom training?  (Office in City Heights in San Diego) Yes No
Attend daytime class Yes No
How many hours are you available for training each week? Less than 9
9
12
More than 12
Occupation when working
Working experience in IT? Yes No
Working experience in Healthcare? Yes No
Post Secondary Education IT Certifications
Some college with IT classes
Some college with No IT classes
College degree in Technology field
College degree in field other than IT
Vocational Training
No training or educational beyond high school
Highest grade completed
How do you plan to advance your career with this training?
Summarize your experience:
Describe the job you want upon completion of training:
Where did you hear/learn about Able-Disabled Advocacy's TechWORKS Program?
Being self-directed and able to complete assignments on time is an important component. Rate yourself on self-directedness using a scale of 1 to 10 with 10 being very self-directed, can stay on task and finish within time frames and 1 being "needs to be told what to do all the time"