Interest Form

Choose the course(s) you are interested in attending:

Certified Clinical Medical Assistant (CCMA)

CPR, AED and First Aid

Mental Health First Aid

Pharmacy Technician

Industrial Truck Operator

OSHA 10

OSHA 30

Welding

NCCER Core, Introduction to Basic Construction Basics

General Carpentry

Google Project Management Certificate

Goodwill Digital Career Accelerator® (GDCA)

Google Data Analytics

Google IT Support

Primary language:

English.

Spanish.

Bilingual in English & Spanish.

Other(s).

US citizenship:

Yes.

Eligible non-citizen.

Ineligible non-citizen.

Undocumented.

Gender:

Female.

Male.

Other.

Do not wish to disclose.

Currently in a Goodwill program?:

Would you like to set up a payment plan?

Yes.

No.

Education level:

Technology skill level:

Below average.

Average.

Above average.

Excellent.

Typing skill level.

Below average.

Average.

Above average.

Excellent.