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Please select the program that you'd like to register for:
(this field is only applicable if you have taken classes at CMCC prior to this registration)
Birth Date (MM/DD/YYYY):
Social Security Number: (123-45-6789)
Please select the gender with which you most identify:
Your race (select one or more):
Your Ethnicity (check box)
Education (highest completed):
Are you currently employed?
Please enter the name of your employer:
What type of position do you hold?
Is your income hourly or salary?
Please share your current rate of pay:
How did you hear about this training?
Check this box if your mailing address is different from your physical address.
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?
Will you be eligible to work in the United States at the completion of the training program? (If yes, documentation may need to be provided at a later date to validated eligibility.)
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.