Request edit access
Clean Energy Career Connect Interest Form
Ready to power NYC’s clean energy future?

Take the first step toward a stable, high-demand career by completing this quick form. In just two weeks, this free intensive training equips you with industry-recognized credentials.

Plus, you will receive direct job and advanced training placement supports to launch your success from day one. Apply now! 

If you have any questions, please email Liza James -  ljames@henrystreet.org
Sign in to Google to save your progress. Learn more

Full Name:

 *

Email Address:

 *

Phone Number:

 *

Date of Birth:

 *
MM
/
DD
/
YYYY
Do you reside in any of these zip codes?
 *
Full Address: *

Preferred Method of Contact?

 *
Required

Are you an alumni of the Stacks+Joules Building Automation Systems Training? 

 *
We highly encourage you to submit your resume because it will allow us to get to know your professional background and provide assistance with your resume ahead of time! 

Please email resume to LJames@henrystreet.org *

Are you currently part of any Henry Street workforce development programs? 

 *
What is your highest level of education? *

Do you identify with any of the following priority populations? – Checkboxes (select all that apply)

 *
Required
Can you commit to a 2 week in-person training? *
What is your current employment status? *

If applicable, please specify any additional details or support needs: 

Are you interested in pursuing a career in the clean energy sector? 

 *
How many years of experience do you have in the clean energy field (if applicable)?  

What motivates you to do this training? 

 *
Required
How did you hear about the training? *
Required
If someone referred you from another organization or Henry Street Settlement, list their name, organization, and contact information (such as their email address).

Otherwise, put N/A if you're not sure or this does not apply to you.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Henry Street Settlement.

Does this form look suspicious? Report

Google Forms