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Discover Clean Technology (SHIFT) Intake Form
Hello and welcome! We're so glad you're here.

Our class and services are at no cost to all participants!

Classes will focus on career and training options for clean technology trade careers in fleet and facility maintenance.
  • Explore in-demand clean technology career paths in fleet and facility maintenance
    • Connect with local employers and industry experts
    • Get support with the PCC admissions process
    • Connect to campus & community resources
    • Explore scholarship opportunities, including SHIFT
    • Receive 1-on-1 coaching
    *All classes and services are in English.

    Once you have completed this form, a staff member will contact you to confirm your registration.

    Portland Community College is a sanctuary college and does not deny services on the basis of legal status. All academic records are protected by the Family Education Rights and Privacy Act (FERPA). Your personal information will be kept confidential and only shared with your written consent or upon a court order. PCC must follow all state and federal laws, and FERPA regulations.

    For questions, please contact Arielle Johnson at discovercleantech@pcc.edu

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    Please choose which Spring Term class you wish to sign up for. *
    First name *
    Last name *
    What is your preferred name?
    Please enter your PCC G Number.
    If you don't currently have a student ID, please skip this question.
    Email *
    Phone number *
    What is the best time to call you? *
    Pronouns

    If you would like to add your pronouns to your information, please let staff know here. 

    Which of the following gender categories best describes how you self-identify?
     *
    What is your race/ethnicity? If you identify as more than one race/ethnicity, please select "Other" and list your identities. *
    Check all that apply.
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    Birth Date (mm/dd/yyyy) *
    This question will help identify you in our system for record keeping purposes. 
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    What county do you live in? *
    What do you hope to learn?
    Have you worked with any community-based organizations within the last year?  Check all that apply or select "No" if you have not.
    A CBO is an organization that helps people in the community with things like health, school, housing, and other services.
    How did you hear about us? *
    May we add you to our email list to get info about upcoming classes or resources?
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    Space is limited and we require students to inform us of any changes in their availability that will prevent them from attending this class. 

    By clicking the box below you agree to notify staff if you are no longer able to attend Discover Clean Technology.
    Privacy Policy
    Portland Community College is a sanctuary college and does not deny services on the basis of legal status. All academic records are protected by the Family Education Rights and Privacy Act (FERPA). Your personal information will be kept confidential and only shared with your written consent or upon a court order. PCC must follow all state and federal laws, and FERPA regulations.

    Our program provides services to help you build confidence, gain skills and make a plan to meet your education and career goals. We are able to do this at no cost to you through funds we receive from city, state and federal grants.

    Our grantors expect our services to be inclusive and responsive to our community. The questions in this intake form help us learn more about you and your experiences. Some of the questions may seem personal or irrelevant, but they will help us improve our services. Your answers will not affect your eligibility for our program. Please visit the Opportunity Centers Disclosures website, pcc.edu/oc-disclosures, for more information.

    By completing this form, you are providing written consent to have your information included in program reports that are shared with grant funders.

    Thank you for participating in our program and taking the time to complete this form. 

    For more information about PCC’s privacy policies: https://www.pcc.edu/policy/privacy/
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