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Register for Making Career Choices,           Wednesday  February 5 , 2025  12:00 - 1:00 p.m.
If you require accommodations to participate in this class, please contact Lisa Archer at 207-386-1664 or lisa.archer@maine.edu

Thank you for providing the following registration information. Your name and contact information will not be shared. Aggregate data is used for the purposes of reporting to our funders and measuring the success of our programs.

All fields are required on the registration form. Please contact Lisa Archer at 207-386-1664 or lisa.archer@maine.edu if you prefer a paper copy or have any questions.

If you have taken a class with NVME recently, you can simply contact the trainer to sign up. Your registration information is likely already on file.

You may be contacted in the future to provide feedback on your experience with NVME.

you have taken a class with NVME within the past year, contact the trainer; your registration information may already be on file.

If you require accommodations to participate in this class, please contact the trainer.

Thank you for providing the following information. Your name and contact information will not be shared. Aggregate data is used for the purposes of reporting to our funders and measuring the success of our programs. Please contact the trainer, NAME at NUMBER or EMAIL if you prefer a paper copy or have any questions.

You may be contacted in the future to provide feedback on your experience with NVME.
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Name - First *
Name - Middle
Name - Last *
Date of Birth *
MM
/
DD
/
YYYY
Address *
City *
State *
Zip *
In what county in Maine do you reside? *
Email *
Phone number *
Sign me up for the enews about NVME programs *
Gender
If you would like the opportunity, we invite you to say more about your gender identity here:
I am Hispanic or Latinx *
In addition, check one or more of the following racial categories to describe yourself. *
If you chose other above, please list here.
Work Status *
I have a disability that limits my work *
I receive SSI, SSDI, or veterans disability *
I am a veteran, active duty military or reservist *
I receive unemployment insurance (UI) *
I am looking for work *
Education Information *
Are you interested in learning more about saving for education for yourself or for your children?
Number of people in your household including you *
Total  monthly Income for your household (from all sources) *
Are you the Head of Household? *
Are you a single parent? *
Do you have student loans?
Would you like to learn more about student loan repayment options?
How did you hear about New Ventures Maine? *
If you chose other above, please list here.
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