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Student Surveycsparx2023-03-02T15:52:45-05:00

Job Seeker Interest Form

First Name*
Last Name*
Email*
Phone Number
Zip Code
Date of Birth*
Date Format: MM slash DD slash YYYY
I am a ProStart High School Student.*
- Yes
- No
What High School do you attend?*
Please contact me by:*
- Phone
- Email
I am interested in:*
- Bulldozer
- CDL Class A
- CDL Class B
- Dump Truck
- Food & Beverage
- Hazmat
- Heavy Equipment
- Passenger
- School Bus
- Skid Steer
What type of hospitality and tourism training are you interested in?
- Food and Beverage Services
- Accommodations and Recreational Services
What type of CDL truck driving training are you interested in?
- CDL Class A
- CDL Class B School Bus Driver (S)
- CDL Class B Construction Truck Driver (dump truck, concrete truck, garbage truck)
Do you have a CLP, Commercial Learner's Permit?*
- Yes
- No
Date of issuance*
Date Format: MM slash DD slash YYYY
Do you have commercial driving experience?*
- Yes
- No
Years of experience*
Are you ready to take a job at the end of your training?*
- Yes
- No
Are you currently employed?*
- Yes
- No
Employer*
Position*
How did you hear about the training?
- Community College Website
- ACCS Website
- Google Ads
- Facebook Ads
- Facebook Post
- YouTube Ads
- Instagram Post
- Twitter Ads
- Email
- Radio
- TV
- Newspaper
- Word of mouth