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    Please use the space below to let us know of any questions you may have. This would also be a good opportunity to tell us why you are interested in CMCC.
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    Maine Is IT! Data Intake Form
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    Personal Information
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    If your date of birth, spelling of your name and/or your primary email address is incorrect, please contact Emily Butterfield to make changes at (207) 755-5375 or ebutterfield@cmcc.edu.
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    ID Number
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    Social Security Number
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    First Name
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    Last Name
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    Birth Date
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    Gender
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    Contact Information
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    Address
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    City
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    Zip Code
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    Home Phone
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    Cell Phone
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    Primary Email
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    Personal Email
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    Demographic Information
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    Race
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    Ethnicity
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    Citizenship Status
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    Disabled
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    Are you a veteran of the United States military? (You may need to provide verifiable documentation.)
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    Do you have any prior college credit?
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    Employment Information
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    Are you currently employed?
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    If you answered yes to the previous question, are you employed part-time or full-time?
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    Are you underemployed?
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    Are you currently employed in the IT field?
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    Who is your employer?
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    Are you TAA impacted (sponsored through the Trade Adjustment Act)?
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    Who was your last employer?
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