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Registration Form Instructions:
To successfully complete the registration process, fill-in all required questions on all sections of the form below.
There are 45 seats available for this program and we will fill the cohorts on a first-come, first-served basis.
Please don't forget to click the SUBMIT button at the end to complete the registration form. You'll get a follow-up e-mail from the Center for Workforce and Professional Development with additional information about your next steps!
If you have any questions, please call 207-755-5280 for answers!
Please detail your interest in a career in the software development field and any programming learning or self-study you have done.
Expand on the Windows computer system (with Internet and Administrative access to install programs) which you will use in the course.
In order to successfully participate in this course, you must own a computer and the specifications must meet those that are outlined below:
Storage 256GB SSD
Video card Intel shared graphics memory
Network 80211ac 1x1 WIFI and Bluetooth
Display size 15.6” FHD Anti-glare Non-touch, Web cam and mic
Operating System Windows 10
By selecting YES, you are confirming that the computer you own meets the above specifications and that you have administrative control to manipulate the programming.
If your computer doesn’t meet the specifications or you don’t have administrative control, please select NO.
How did you hear about this course?
Maiden / Other Birthname
Birth Date (MM/DD/YYYY format):
(Please be accurate - this information is used to create your initial password.)
Social Security Number: (please include dashes)
We respect your privacy. Access to your Social Security Number is restricted but is requested in order to evaluate program outcomes.
Please select the gender with which you most identify:
Your race (select one or more):
Your Ethnicity (check box)
Education (highest completed):
Are you a Maine state resident? (If yes, documentation may need to be provided at a later date to validate residency.)
As a non-Maine resident, do you intend to work and/or live in the state of Maine at the completion of the training program?
Address Line 2:
Employer: (Enter NONE if you are currently unemployed)
Do you currently have a paid position or is it volunteer work?
Salary or Hourly Income?
Please share your current rate of pay
I hereby grant CMCC permission to share my educational records, including registration, attendance, progress, and results, with the Maine Community College System for grant reporting purposes.
I also agree that as a participant of the grant funded program, I will provide validation of certification credentials, and updated information on employment and wage/salary changes as a result of the training/certification.